Effective 1/1/2022
Good Faith Estimate
As of January 1, 2022, state-licensed or certified health care providers need to give a Good Faith Estimate of healthcare charges to every new and continuing client who is either uninsured or is not planning to submit a claim to their insurance for the
healthcare services they seek.
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental 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 expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate
for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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.
This Good Faith Estimate doesn't not account for late cancellations, no-show fees, crisis sessions, non-therapeutic charges, case management fees, court litigation fees, or other financial arrangements determined on a case by case form. See practice policies disclosure form.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.
The below information will help you estimate your treatment costs.
healthcare services they seek.
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental 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 expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate
for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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.
This Good Faith Estimate doesn't not account for late cancellations, no-show fees, crisis sessions, non-therapeutic charges, case management fees, court litigation fees, or other financial arrangements determined on a case by case form. See practice policies disclosure form.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.
The below information will help you estimate your treatment costs.
Individual Therapy
I do not accept insurance. Here is why. I can provide you a receipt for services and you can submit to your insurance company for possible reimbursement. Payment in full is due at time of service.
Outpatient Psychotherapy 50 min $235
Group 120 min $90/ $235 for pre-group consult
No Show/Late Cancellation $235
I accept Visa, MasterCard, Discover, American Express.
IMPORTANT INFORMATION
1. Cancellation/ No Show Policy: If an appointment is not cancelled at least 24 hours in advance you will be charged the full rate, two-hundred dollar ($235) fee.
2. Scheduled Appointments: If a client is 15 minutes past their scheduled time we will have to reschedule the appointment. The only exception is when you have contacted me and I agree to wait beyond the 15 minutes. You will not be extended any additional time beyond your originally scheduled appointment time.
4. Account balances: I require that clients with self-pay balances do pay their account balances to zero(0) prior to receiving further services by my practice. A 10% finance charge will be added to all balances not paid within 30 days. Clients who have questions about their bills should contact my office at 206-458-2556.
Group 120 min $90/ $235 for pre-group consult
No Show/Late Cancellation $235
I accept Visa, MasterCard, Discover, American Express.
IMPORTANT INFORMATION
1. Cancellation/ No Show Policy: If an appointment is not cancelled at least 24 hours in advance you will be charged the full rate, two-hundred dollar ($235) fee.
2. Scheduled Appointments: If a client is 15 minutes past their scheduled time we will have to reschedule the appointment. The only exception is when you have contacted me and I agree to wait beyond the 15 minutes. You will not be extended any additional time beyond your originally scheduled appointment time.
4. Account balances: I require that clients with self-pay balances do pay their account balances to zero(0) prior to receiving further services by my practice. A 10% finance charge will be added to all balances not paid within 30 days. Clients who have questions about their bills should contact my office at 206-458-2556.