A Note on Insurance
I am an out-of-network provider with health insurance. Often, when clients chose to use their insurance, client care can be hindered in that so much is dictated by insurance. Some of these items include the requirement to give clients a diagnosis, and potential limits to the amount of sessions a client could have using their insurance.
As an out-of-network provider, I am able to give individualized, highly trained services and specialized personal care to my clients. Together, we can create a treatment plan that makes sense for your unique needs – not the needs of your insurance company. There are also no limits to privacy associated with the mandate of providing information relating to our work together to a third-party payer. For information on the ABC’s of why I do not accept insurance, contact me [link to contact me page]! Let’s chat!
Out of Network Insurance
Still, I appreciate you may wish to seek reimbursement from your insurance company. Depending on your current health insurance provider or employee benefit plan, my services can be covered in full or in part by using your out-of-network benefits. Please contact me [insert link to contact me page] and I can provide you a one page step-by-step document that can help guide you through this conversation with your insurance provider.
Or, the questions below are also a valuable starting place to ask your insurance provider to help determine your benefits:
- Does my health insurance plan include out of network mental health benefits?
- Do I have an out of network deductible? If so, what is it and have I met it yet?
- Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?
- Do I need written approval from my primary care physician in order for services to be covered?
Please contact me for detailed rate information specific to your goals and needs. Even better- Let’s set up a free 20-minute phone/video consultation so I can get to know what you are looking for, see if we think I might be a good fit, and further discuss insurance and payment options!
I accept cash, check and all major credit cards as forms of payment. I also accept payment directly on my site via this page.
For Telehealth services, I require that a form of payment (i.e., credit card, debit card, FSA, or HSA card) be kept on file and is provided at the initiation of services. Please be advised payment information is securely stored within a HIPAA-compliant medium.
If you are unable to attend a session, please make sure you cancel at least 48 hours beforehand. Otherwise, you may be charged for the full rate of the session.
GOOD FAITH ESTIMATE
Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
– You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
– Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
– If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
– Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises
Any Other Questions
Please contact me for any additional questions you may have. I look forward to hearing from you!