Fees & Policies
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During our first few meetings we will discuss your presenting issue and your goals for therapy. Together we will come up with a personalized treatment plan, which will usually involve meeting for weekly 50-minute sessions either in-person at my Orange County office or via secure video chat.
Once an appointment hour is scheduled, you will be expected to pay for it unless you provide 24 hours advance notice of cancellation. We allow for one late cancellation per 12 months without fee. More than one per 12 months will result in a charge to your card on file. Insurance does not reimburse for missed sessions. Should you be unable to travel to the office for your session, you may also change your in-person session to online, up until 60 minutes prior to your session time. Please notify us of the change as soon as possible via phone, email, or the online scheduler.
Many clients choose not to involve insurance companies in their mental health care because paying privately provides the highest degree of privacy, flexibility and control over your treatment. If you do not have insurance, or are choosing to not go through your insurance, you can pay out-of-pocket for therapy sessions.
|Individual Therapy (face-to-face & online)|
|PEERS Teen Group (16 weeks)|
|PEERS Young Adult group (16 weeks)|
Please contact us if finances are a concern. We reserve a limited number of reduced-fee appointment slots. We do our best to make sure finances do not prevent you from getting the help and support you need.
We are an out-of- network provider.
For out-of- network, payment is made by the client at the time of service or through the online scheduler. If you choose, insurance will then reimburse you a percentage of the session cost. Insurance providers typically reimburse 50-70% of session costs. Please check with your provider either via phone or online for rates of reimbursement, as they vary.
Helpful questions to ask:
- What is my deductible and has it been met?
- How much does my plan cover for an out-of- network mental health provider?
- How do I obtain reimbursement for therapy with an out-of- network provider?
- Is authorization required in advance?
- Is a diagnosis required for services to be covered?
- Does my plan cover teletherapy services? (if doing online therapy)
If you have "out-of- network" coverage through a PPO, we can provide you with monthly receipts to submit to your insurance company for potential reimbursement. We can also submit the superbill to them on your behalf for more timely reimbursement. Payment will be due on the day of service. It is your responsibility to understand your insurance policy and rates of reimbursement.
Our clients prefer a personalized higher level of service than is dictated by the tight restraints of in-network managed care. With us, you control your confidentiality and whether your information is released to your insurance. Insurance providers require a diagnosis for payment and keep records of treatment, which may not be beneficial to some of our clients based on their profession or other factors.
YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS
(OMB Control Number: 0938-1401)
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
What is “balance billing” (sometimes called “surprise billing”)?
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care - like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.
You are protected from balance billing for: Emergency services
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.
Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed. If you get other services at these in-network facilities, out-of-network providers can’t balance bill you unless you give written consent and give up your protections.
You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
When balance billing isn’t allowed, you also have the following protections:
- You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
- Your health plan generally must:
- Cover emergency services without requiring you to get approval for services in advance (prior authorization).
- Cover emergency services by out-of-network providers.
- Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
- Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.
For questions or more information you may contact: www.cms.gov/nosurpises 1-877-696-6775
Visit https://www.cms.gov/files/document/model-disclosure-notice-patient-protections-against-surprise-billing-providers-facilities-health.pdf for more information about your rights under Federal law.