Insurance Reimbursement
Please note I do not participate on the panels of "Managed Health Care Plans" such as HMO's and PPO's. Therefore, if you intend on seeking insurance reimbursement, please note the following information:
It is important for you to find out the availability of coverage for an “out-of-network psychologist.” If we are able to work together under one of these plans, your insurance company may require advance authorization before they will provide reimbursement for mental health services. These plans often require a short-term treatment approach designed to resolve specific problems that are interfering with one’s usual level of functioning.
Regarding payment, you will pay for each session yourself. I will provide you with a statement detailing the charges. If you wish to receive insurance reimbursement, you will submit the statement to your insurance company along with any necessary filled-out claim forms. It will be your responsibility to request the reimbursement from the insurance company. It is important to remember that I have no control over your insurance company’s policies and reimbursement procedures. However, I will assist you to the best of my ability in this process.
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 expective 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 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 800-985-3059