Financial Information

If you have an insurance plan with out-of-network benefits (typically a PPO), I am able to provide you with a receipt of payment which you can then submit to your insurance company. If you have questions about this, and my role in the process, please let me know. Finally, some people choose to not use their insurance and pay out of pocket. 

Questions you may ask your insurance provider:  

For in-network or out of network:

    • Call your insurance provider to find out what your Behavioral Health insurance plan is (it may or may not be your primary provider listed on your card)
    • Ask if I show up as a provider (for in-network)
    • Ask if you need a prior authorization to be seen
    • Ask what your behavioral health co-payment is, and if you must meet your deductible before your Behavioral Health benefits take effect (if so, you may be responsible for more than your copayment until your deductible is met)
    • Ask if further authorizations are needed after treatment has started

For out-of-network (OON):

    • What is your deductible for OON Behavioral Health services
    • How much of provider fee do they cover after deductible is met
    • Is the % they cover based on provider fee or an allowable amount they predetermine

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your 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 bill for medical items and services, including for behavioral or mental health.

You have the right to receive a Good Faith Estimate for the total expected 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 scheduled medical service or item. You can also ask your health care 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 https://www.cms.gov/nosurprises or call 800-985-3059.