Insurance, Fees and Good Faith Estimate
Insurance
We believe that it is important for you to make informed decisions regarding your treatment. In addition, I want you to be in complete control of all the information that is written about you, especially related to mental health.
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When mental health services are billed to an insurance company, the provider is required to submit a diagnosis. The insurance company also has a right to view your medical record for any mental health services they have covered.
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However, we recognize that most people need to use their insurance coverage to access services. Claudine will do her best to work with you to find the best solution for you.
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If you have Aetna, Cigna, United Healthcare (Optum), FL Blue (Florida) or Medicare (Florida only) Claudine is an in-network provider and can bill them directly. If you have other types of insurance you would like to use, Claudine will work with you to find a way to utilize her services.
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Please call or text Claudine at 314-780-8328 to begin discussing how to best utilize your benefits so that you can begin therapy today.
Fees
Payment of session fee and/or insurance copay can be done by debit card, HSA card, Flex Spending Card, or credit card. All fees are due at the time of the appointment and billed via Square Invoice. There is no charge for appointments canceled 48 hours in advance and/or rescheduled within the same calendar week. The charge for missed appointments is the full fee for the session (not your copay if using insurance).
Good Faith Estimate and Dispute Process Disclaimer
Chrysalis Counseling provides good faith estimates to all clients in accordance with the No Surprises Act. The Good Faith Estimate shows the cost of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created.
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The Good Faith Estimate does not include any unknown or unexpected costs that might arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill.
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You may contact the health care provider or facility to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.
You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date of the original bill.
There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on the Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.
To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call HHS at (800) 368-1019.
For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call (800) 368-1019.
Keep a copy of the Good Faith Estimate in a safe place or take a picture of it. You may need it if you are billed a higher amount.
Disclaimer
This website provides information only, and does not provide any financial, legal, medical or psychological services or advice. None of the content on this website prevents, cures or treats any mental or medical condition. You are responsible for your own physical, mental and emotional well-being, decisions, choices, actions and results. Chrysalis Counseling disclaims any liability for your reliance on any opinions or advice contained in this website.