Billing Information:

I am an out-of-network (OON) provider. Some insurance companies will reimburse you for costs related to attending therapy. I require clients to pay all fees up front, and then provide clients a monthly statement to submit to their insurance company for reimbursement. 

The monthly statement, called a “superbill,” is a statement of all the fees paid, services provided, and other necessary information. If you choose to allow your insurance company to contribute payment to your treatment, you should know that they are allowed access to your clinical records. 

Here are a few questions you can ask your insurance provider:

• Do I have out-of-network benefits for mental health services?

• What is my yearly deductible? Has it been met?

• What is the maximum reimbursement amount for the year?

• How many sessions per calendar year does my plan cover?

• Does my insurance plan reimburse for an out-of-network provider for telehealth?

In order to maintain confidentiality, I will not be communicating with your insurance provider directly.

Cancellation Policy:

Cancellations with less than 48 hours notice and “no-shows” (cancellations without notification) will be charged for a full session. Please be aware that you are responsible for arriving on time to your appointments. As a courtesy to all clients, if you are late, the session will still end on time.

No Surprises Act:

Effective January 1, 2022, the No Surprises Act, which Congress passed as part of the Consolidated Appropriations Act of 2021, is designed to protect clients from surprise bills for emergency services at out-of-network facilities or for out-of network providers at in-network facilities, holding them liable only for in-network cost-sharing amounts. The No Surprises Act also enables uninsured clients to receive a good faith estimate of the cost of care. 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 (GFE) for the total expected cost of any non-emergency items or services. 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 health care provider 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.