I am an out of network provider, which means I do not accept insurance. Insurance guidelines are very limiting for the level of care that I wish to provide. I hope to give my clients an individualized experience instead of being confined to the rules set by insurance companies. I have limited sliding scale spots if you need financial accommodations. Part of the reason I do not accept insurance is to honor the flexibility my clients need.
I’m happy to provide you with a super bill which you can give to your insurance for possible reimbursement. The super bill will be sent to you by email upon request and you are responsible for submitting it to your insurance for reimbursement. I cannot guarantee you will be reimbursed for my services as this is dependent upon each insurance provider.
I WILL PROVIDE A GOOD FAITH ESTIMATE AT THE BEGINNING OF SERVICES. IF YOU ARE BILLED FOR MORE THAN THIS GOOD FAITH ESTIMATE, YOU HAVE THE RIGHT TO DISPUTE THE BILL.
You may contact the health care provider or facility listed 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 on 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 this 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.
Payment is due at the time of service, so having a credit card on file at all times is required