We can help you verify your mental health benefits covered by your insurance, although the information we receive is not always accurate. We strongly recommend you call your insurance and verify your benefits for mental health services and teletherapy sessions so that you are aware of what costs you will be responsible for before beginning therapy sessions with your counselor. Please note, that some of our providers may be out of network with your insurance.
Self Pay is $170 for a 50-minute psychotherapy session. Please call our office for more information on Self-Pay Rates.
We accept health Savings and Flex Spending Accounts (HSA/FSA’s), cash, and credit cards. You can use your HSA/FSA towards session costs if we do not accept your insurance. We can provide you with a superbill to submit to your insurance if needed.
Is designed to protect patients from surprise bills for emergency services at out-of-network facilities or for out-of-network providers at in-network facilities, holding them liable for in-network cost-sharing amounts. The No Surprises Act enables uninsured patients to receive a good faith estimate of the cost of care.
Billing disclosures -Your rights and Protections Against Surprise
Medical Bills.
When you get emergency care or get treated by an out-of-network provider in-network hospital
or ambulatory surgical center, you are protected from surprise billing or balance billing.
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as copayments, coinsurance, and or deductibles. You may have other costs or have to pay the entire bill if you see a provider or visit a healthcare 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 may be permitted to bill you for the difference between your plan's agreement and the full amount charged for a service. This is called “balance billing.” This amount is most 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 schedule a visit at an
in-network but are unexpectedly treated by an out-of-network provider.
You are protected from balance billing for:
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 provider or facility, the most the provider or facility may bill is your plan’s in-network cost-sharing amount(such as co-payments 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.
Additionally, Texas law protects patients from surprise medical bills in emergencies and when a patient receives covered medical services from an out-of-network provider at an in-network facility. The law applies to state-regulated insurance plans, including the state employee or the teacher retirement systems. This law does not apply to non-emergency healthcare or medical services when a patient elects in advance and in writing to receive those services from an out-of-network provider and when the out-of-network provider provides the patient with a written disclosure.
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, hospital, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections are not 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 protections 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.
If you believe you’ve been wrongly billed you may contact: U.S. Centers for Medicare & Medicaid Services (CMS) at 1-800-MEDICARE (1-800-633-4227) or visit cms.gov/no surprises for more information about your rights under federal law. The Texas Department of Insurance Consumer Help Line at 1-800-252-3439 or www.tdi.texas.gov/tips/texas-protects-consumers-from-surprise-medical-bills or www.tdi.texas.gov/medical-billing/surprise-balance-billing for more information about your rights under Texas Law.
You have the right to receive a “Good Faith Estimate explaining how much your medical care will cost. Under the law, healthcare 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 healthcare gives you a Good Faith Estimate in writing at least one business day before your medical service 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 cms.gov/nosurprises or call 1-800-MEDICARE (1-800 633-4227)
