Insurance and Good Faith Estimate

Insurance

Please note that I am an out-of-network provider.  This means that I do not accept insurance. As a fee-for-service provider, I am able to offer more privacy and flexibility in our clients’ treatment than would be possible if we participated in managed care.  I am happy to provide you with an itemized statement that you may choose to submit through your insurance company if needed.  The amount that you are able to be reimbursed will depend on your policy.  Contact the number on your insurance card to check your benefits and method of submission. 

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"No Surprises Act"

In compliance with the No Surprises Act that went into effect January 1, 2022, I am required to notify all healthcare consumers of your Federal rights and protections against “surprise billing.”Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. 

This Act requires that I notify you of your federally protected rights to receive a notification when services are rendered by a non-participating provider and provide options to receive care from an in-network provider if one is available. Additionally, I am required to provide you with a Good Faith Estimate of the cost of services for the duration of treatment. It is difficult to determine the length of time for mental health care treatment, but I will do my best to provide an estimate based on the average length of treatment as well as the treatment goals that we develop together. 

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For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises