INFORMATION
NO SURPRISES ACT
The No Surprises Act, which is part of the Consolidated Appropriations Act of 2021, is designed to protect clients from receiving unexpected medical bills. The Good Faith Estimate provision of the No Surprises Act is designed to give clients an estimate of how much they’ll be charged for the healthcare services they’ll be receiving, prior to their appointment.
GOOD FAITH ESTIMATE NOTICE
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health 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 expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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.
PRIVACY POLICY (HIPPA)
This notice describes how health information may be used and disclosed and how you can get access to this information. Please review it carefully.
COST & INSURANCE
I am an out-of-network provider for insurance companies. I am happy to provide you with a superbill which lists medical CPT codes and administered services and can be submitted to your insurance to obtain reimbursement for services. There is no guarantee that insurance companies will approve your claim; please contact your insurance directly to find out about your coverage before accessing services.