You can make payments through E-transfer, Check or cash.

If you are not familiar with e-transfers please email me at drjimroche@gmail.com and I can send an instruction sheet. Most banks make e-transfer payments for no charge. You are also welcome to pay with a check, cash or eTransfer.. 

Frequently Asked Questions (FAQs):
How much do services cost, and what kind’s of payments do you accept?
Service charges are based upon the professional rates suggested by the British Columbia Psychological Association (BCPA). My fees are $260 per session. This fee applies to all sessions, including initial consultations and related services such as report writing or the completion of forms for tax benefits, disability and so on. I can also accept insurance payments when they are prearranged by the insurance company and a letter of agreement is provided by the insurance company, or direct funding from the appropriate Ministry (such as autism funding), Victim’s Services Funding, and some EAP reimbursements. These arrangements must be made before the initiation of services. 

What if I miss an appointment, do I still need to pay?
You need to give 48 hours advanced notice before missing or changing an appointment time. An hour has been scheduled just for you and often cannot be filled on such short notice. A missed appointment fee of $75.00 can be applied for the first missed session. Exceptions are made for emergencies.  If you are scheduled for an assessment usually three or more hours have been scheduled for the procedure, therefore 72 hours advance notice is required. I have a fairly long waiting list of individuals who need assessments, and missing a two or three-hour appointment delays not only your treatment but others as well.  You will be billed for this time at 50% of the usual hourly rate.

Office sessions last approximately 50 minutes, leaving time to complete required medical notes.
Testing and assessment sessions may last 2-4 hours, with breaks.

Fees for assessments are set. This cost includes the assessment session itself, time scoring tests, researching questions that arise from the scoring, reading psychological and medical histories, contacting schools, parents, and previous providers, reviewing data from various sources, consulting with colleagues, writing the final report and preparing for the feedback session.

The fee for a comprehensive ADHD neuropsychological exam and treatment plan is $1,920.
(both autism and psyched exams also cover ADHD)

The fee for a psychoeducational examination is $3,360

The fee for Adolescent or Adult Asperger's/autism (ASD) diagnostic testing is $2,400-$3,200

A combined assessment including both a psychoeducational assessment and diagnostic testing for autism is $4,260

Autism assessments for children and adults are billed at the same rate. I see children over the age of 8, adolescents and adults for assessment. Younger children require different testing protocols I am unable to provide and, for autism spectrum disorder, must be seen by a “team” including a speech pathologist and medical doctor.

Autism and Psychoeducational Assessments
These highly specialized assessments can require significant additional time if a psychoeducational or language assessment is also necessary. These costs are determined at an hourly rate determined before we start an assessment. Suggested standard fees are above.

The fee for a comprehensive ADHD assessment is $1,920. This includes the time spent completing the assessment, scoring, an individual feedback session feedback session, written report with suggested interventions. Remember, while psychologists assess, diagnose, and provide behavioural interventions for ADHD, we do not provide medication in BC.

It is my preference to arrange an initial meeting and then complete the testing although you will be asked to complete some paperwork before the session. The initial session can either be by phone or in the office. Note: Completion of this paperwork does not constitute a doctor/client relationship as a formal informed consent process must be completed first. Occasionally, after an initial review of materials, a decision is made that an assessment is inappropriate at this time. After the assessment is done a report is prepared and we meet a final time to go over the report in detail and discuss your next steps. If all components of an assessment are not necessary, the cost may be lower. We will discuss this at our initial meeting. The cost of all of these meetings is included in the total fee.

What about legal cases, ICBC or WorkSafe BC cases?
If you are seeing me about an issue that is legal it is usual for your lawyer to arrange for these services and pay directly. Please discuss such a situation with me before coming to the office. A different fee structure applies for legal/forensic issues and this can be explained to you if you have any questions. Legal cases can be very expensive, often running into several thousands of dollars. Please clarify these matters with your legal representative. I am not currently seeing patients for legal/forensic issues.

Are psychological services paid for by MSP?
The Medical Services Plan (MSP) in British Columbia generally does not provide coverage for the services of Registered Psychologists or Registered Psychological Associates in private practice. Although many clients pay their fees directly, there may be several options for funding and reimbursement available to people who need to see a psychologist:

Extended Health Plans
Many people who are employed have an extended health care plan through their employer. Many health care plans pay all or a portion of the costs of seeing a Registered Psychologist, up to a limited total each calendar year. Check your benefits coverage or talk to your insurance company to find out about your options and requirements. I do not know what services your particular policy will pay for. Services are paid for by the patient or family and reimbursed by the insurance company. You need to clarify the limits of your coverage yourself as insurance companies do not share information with serve providers.

Employee Assistance Programs (EAP’s)
Some employers have EAP’s to help employees deal with mental health issues. You may be able to see a psychologist through your EAP. For more information please consult your benefits booklet or talk to your EAP coordinator.

Crime Victim Assistance Program
If you have a mental health concern as a result of having been the victim of a reported crime, you may qualify for coverage of psychotherapy or counseling services. If the crime occurred in BC, you can contact the program toll-free at 1-866-660-3888, or in the Lower Mainland at 604-660-3888 for more information.

Other agencies or programs
Access to psychological services can also be arranged through WorkSafe BC, First Nations Health Services, Income Assistance, Family Services of Greater Vancouver, Pacific Centre Family Services Association, Addiction Services, Community Mental Health Services, or local hospitals.