RIGHT 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
If you are a current client, you have received, reviewed and signed a Disclosure form which displays all of my fees, and if you are not a client yet, you have likely seen my FAQ page which has my fees listed as well. With that in mind, as of January 1st 2022, there are more specific requirements for Providers.
My standard fees are:
$150 - 45 or 50 min Individuals & Couples
Discounted Direct Pay (Pay out of pocket) / Deductible for OON:
$110 - 50 minute Individuals & Couples
$55 -30 minute session
$111 - 50 minutes
$25 - No-Show Fee
I use a program that processes claims and charges co-pay and deductible called Advekit.
Advekit pays for your session upfront, processes insurance claims and then you would pay the deductible or co-pay.
Checklist for Advekit:
Register and add me as your Therapist
Provide payment information (for deductible fees)
Provide insurance information (so they can file OON (out of network) claim
Schedule an appointment "Therapy w/Voucher or Advekit"
Under the law, No Surprises Act, health care providers may 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, upon request. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
• In addition to the required Disclosure form, you may request a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare 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 or call 1 (800) 633-4227.