Insurance, Fees and Good Faith Estimate

Making an informed decision about your care starts with having clear information.

Insurance

You deserve to be in complete control of all the information shared about you, especially related to mental health. Here is something worth knowing: when therapy is billed through insurance, your provider is required to submit a diagnosis. The insurance company also has a right to access related medical records.

I know most people still need to use their insurance to make therapy possible.

I am an in-network provider for:

Aetna
Cigna
Florida Blue
United Healthcare (Optum)

Have a different plan? Let's talk. I'll work with you to find the best way to use your out-of-network benefits.

Ready to get started? Call or text me at 314-780-8328 and we will explore the best path forward, together.

Fees

Payment Options

Paying for sessions is simple. I accept debit cards, HSA cards, Flex Spending Cards, or credit cards, conveniently billed via Square Invoice. All fees (including copays) are due at the time of your appointment.

Sessions fees, copays and no show fees

Canceling or rescheduling 48 hours in advance and/or rescheduling within the same calendar week? No charge.

Missed appointments? Billed the full session fee, not your copay if using insurance.

Your costs for treatment

Insurance: your insurance company is the only one who can tell you your out-of-pocket costs.

How do you find out what you will have to pay? You need to call the number on the back of your insurance card and ask what your costs will be for treatment. It depends on whether or not you have a PPO, HMO or high deductible plan. You can verify that I am in or out-of-network, and find out your copay or deductible per session.

Self Pay: I am transparent about my session fees.

We will have a direct conversation about session costs and how often we plan to meet.

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.

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.

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.

Connect with
Claudine

314-780-8328

Disclaimer