Fees

Please contact me directly to discuss fees. I do not accept insurance and am, therefore, private pay or out-of-network only. I will provide you with a "superbill" that you can submit to your insurance company for possible out of network reimbursement. It is your responsibility to ascertain what your coverage is, including the out of network deductible. 

The No Surprises Act aims to increase price transparency and reduce the likelihood that clients receive a “surprise” medical bill by requiring that providers inform clients of an expected charge for a service before the service is provided. The new law requires healthcare providers to provide Good Faith Estimates to uninsured, out-of-network, or self-paying clients for services offered when scheduling care or when the client requests an estimate.

Standard Notice: “Right to Receive a Good Faith Estimate of Expected Charges” Under the No Surprises Act

Instructions

Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.

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 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 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
  www.cms.gov/nosurprises