Marital and Family Therapy

Category - Law & Ethics

Client A is paying with insurance and is charged $115 per hour. Client B pays cash and is charged $85 per hour. What is happening in this situation is:
  1. Unethical. All clients should be paying the same fee.
  2. In most cases illegal. A case could be made for insurance fraud.
  3. Failing to adhere to standard disclosure practices about fee for service.
  4. All of the above
Explanation
Answer - D - All of the above things could be interpreted to be happening in this situation. Ethically, patients should all pay the same fee unless they require a sliding scale. Most, if not all, insurance panels require you to bill the same rate that cash patients would pay. On your informed consent, you disclose a fee for service. When signing, your clients assume that fee applies to all.
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