Here is a summary of my office policies. I discuss all policies with patients before they begin treatment, and they receive a copy of all policy documentation.
Insurance & Payment
Health Insurance
I am not contracted with insurance companies and do not file insurance claims.
Patients can contact their insurance company directly so they know what to expect from their coverage. If they would like procedure codes to gather specific information from their health insurance company, I can provide those.
I encourage patients to ask their insurance provider the following questions:
- What mental health, psychiatric, and therapy services does my insurance plan cover?
- What are your policies regarding deductibles, the number of visits covered, and the process of requesting out-of-network reimbursement?
- Are there mental health conditions that are not covered by my plan?
- What is the covered amount per psychiatric visit with an out-of-network provider?
- Is prior approval from my primary doctor required?
It is also important to point out that insurance companies do not reimburse for additional collateral work or missed appointment fees, and clients would be responsible for paying those charges directly, even if the insurance company covers the office visits.
Payment
I accept debit, HSA, and credit cards. Fees are due at the time of the appointment. A credit card is stored on file through the MYIO patient portal. The paid invoice or superbill is sent to the patient portal account at the end of each month and contains the information needed to submit to an insurance company.
I review my fees annually and adjust them as needed. I discuss the fee structure and rates with all patients before and during treatment.
Good Faith Estimates
The No Surprises Act took effect on January 1, 2022, requiring us to provide a Good Faith Estimate of the care costs.
Under the law, healthcare providers must give patients who don’t have insurance or 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, and the estimate does not obligate or require you to obtain any of the listed services from this practice.
- We provide our Good Faith Estimate in the Policies and Disclosure Document given to patients before becoming a patient and update patients as necessary.
- The information provided in the Good Faith Estimate is only an estimate, as actual items, services, or charges may differ.
- We may recommend additional items or services as part of the treatment that are not reflected in the estimate. These would need to be scheduled separately.
- You have a right to engage in a dispute resolution process if the actual service costs significantly exceed those listed in the Good Faith Estimate.
- Make sure to save a copy of the Good Faith Estimate policies by keeping the Policies and Disclosure document.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.