Our Concierge Psychiatry Model: Focused, Personalised, and Insurance-Free

Dr. Deluca and associates have adopted the concierge model as an enhanced form of patient-focused treatment. All associate providers are out-of-network for all insurance carriers. We operate a fee-for-service psychiatric practice for people who value the highest quality of medicine.

The concierge model unleashes our practice from insurance company reimbursements. In an effort to make our practice even more accessible to a wider range of patients, unlike some Medical Concierge models, we do not require an annual membership fee.

CURRENT FEES

Dr. Mark DeLuca, MD

Dane Santoro, PA-C

Forensic / Court and evaluations are offered at a fixed rate of $1,200/ hr for all services. A refundable retainer of 10 hours is initially taken.

Reliance on Insurance versus a Patient-Focused Care Model

When practitioners rely on insurance reimbursement, it can limit accurate diagnoses and restrict optimal treatment plans. At our concierge-style practice, we prioritise patient needs by tailoring appointment length and frequency without insurer constraints. Patients only pay for the care they receive—no membership fees required.

Our model allows for more freedom in providing comprehensive, patient-focused treatment. While we do not bill insurance directly, many patients use out-of-network benefits for reimbursement. We’re happy to provide the necessary forms for eligible patients to submit to their insurance providers.

Other Services:
  • Clozapine (Brand Names): Clozaril Monitoring
    • Athelas monitoring – $25 (in-office blood monitoring for Clozaril)
  • Electrocardiogram (EKG) – $100
  • Home Sleep Study – $600
  • In-House Injections: – $30
  • Ketamine Injections: – $50
  • Phlebotomy – House Call – $150
  • Phlebotomy – In Office – $100
  • Sober link – $400/ month
    • A professional-grade Breathalyzer system with facial recognition that automatically sends results in real-time to designated individuals
  • Transcranial Magnetic Stimulation – $300/session
  • Vivitrol Injections – $750
    • FDA-approved prescription injectable medicine for opioid dependence and alcohol dependence

Welcome to Palm Beach Psychiatry Experts, where we provide comprehensive individualised services to our patients. Although our goal is to provide concierge like services, we do not charge like a concierge practice. The patient experience is extremely important to our group our goal is to provide objective compassionate treatment with care and discretion.

You know more about yourself than any doctor ever could. Please speak openly without fear being judged. We will partner with you to a solution to your struggles. In a doctor-patient relationship, *Florida Law protects communications * only you can waive confidentiality. The only exception is a threat physical danger to yourself or others. The more honest you are, the more we can help.

Appointments will not be scheduled until the entire consent form been filled out in full along with a credit card authorisation form on file to secure the appointment time.

Please note, *MISSED APPOINTMENTS ARE CHARGED THE FULL SESSION FEE UNLESS THEY ARE CANCELLED 48 HOURS IN ADVANCE*. When we schedule an appointment, the time is reserved for that patient it is no longer available to others: therefore, eliminating double booking. If we would not bill for that time we would not be able to provide our high-level service. If you cannot make it to the office for your scheduled appointment, it is possible to have a phone or webcam session.

The fee for the visit will be charged as soon as the day of the appointment to the card provided.

The card provided will be used for the appointments/ sessions scheduled in the office, over the phone, or via webcam. I understand that this credit card may be charged on the day of the appointment unless I provide another form of payment prior to the appointment. It is my responsibility to inform the office of any payment changes I need to make *prior* to the visit.

*The cardholder must understand and agrees with our offices guidelines and policies listed in addition to authorising this company to bill for time scheduled (fee for services) to include “no shows” of scheduled appointments*. To provide services the cardholder of the credit card must agree not to dispute any credit card/ debit card charges for services provided. We will make every effort possible to provide you will the best treatment possible.

*Your session time will be predetermined*. If important issues come up at the end of the session, they may have to be discussed further at the next meeting. Initial appointment times are a minimum of 1.5 (one and a half) hours, the doctor shall be compensated for their time at their list per hour for all services.

*Time spent on the phone, emailing, or writing letters is billed at the same hourly rate. *Communication with family, friends or other professionals is billed to the patient. We may be able to provide house calls to those who are housebound or require in-home therapies.* When we travel to see a patient, our time is billed at the same hourly rate.*

💳 Credit Card Payment Policy

As a convenience of credit card payments for medical services. In accordance with federal and state consumer protection laws—including the Truth in Lending Act, Dodd-Frank, and Florida Statutes §501.0117—as well as credit card network regulations, a 3% surcharge will be added to all credit card transactions.

This surcharge reflects the actual processing cost incurred by our office to accept credit card payments. This surcharge applies only to credit card payments and does NOT apply to payments made by debit card, check, cash, or ACH bank transfer.

We appreciate your understanding as this policy allows us to continue offering the flexibility of credit card payments while maintaining transparency about processing costs.

If you have any questions about this policy or would like to discuss alternative payment options, please contact our office.

💳 Credit Card Payments

A 3% processing fee will be added to all credit card transactions to cover the actual cost charged by the credit card processor. No fee applies to cash, check, or ACH payments.

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