Payment for services is discussed during your initial consultation when a Good Faith Estimate is provided **.
I accept original Medicare and any secondary insurance to Medicare that you may have.
I also am an out-of-network provider for most other insurance companies. If you do not have Medicare as your primary insurance, you are considered self-pay and payment is made prior to your appointment via: cash, check, money order, debit or credit card, or health savings account. As requested, I can provide you with a Superbill to submit to your insurance company for possible reimbursement. Coverage for counseling services varies according to your insurance company and depends upon the plan that you use. Please contact your provider to verify your plan’s benefit for out-of-network mental health services. Please note that I will provide you with a Good Faith Estimate for services as we begin working together.
About In-Network versus Out-of-Network Services:
In order to file for out-of-network insurance benefits for services, I am required to provide your insurance company with a mental health diagnosis. Many people seeking counseling are often going through difficult times in their lives but don’t necessarily meet the criteria for a formal diagnosis. This being the case, please be advised that in order to use your insurance, a formal diagnosis must be given. This diagnosis stays in your insurance record without being able to amend or change it even if your life circumstances have changes or improved. Self-pay services ensure the greatest flexibility and freedom in the approach taken to help you in a timeframe that best meets your needs. It also ensures the highest levels of privacy and confidentiality as well as guarantees that we work on what you want to work on and not what your insurance company wants you to work on.
Cancellations are required at least 24 hours in advance of your appointment.
Here are some helpful questions you can ask your insurance provider regarding your out-of-network benefits:
Does my health insurance plan include mental health benefits?
Does my health insurance providers out-of-network mental health benefits?
Do I have a deductible? If so, what is it, and have I met it yet?
Does my plan limit the number of out-of-network sessions I can have in a calendar year? If so, what is the limit?
Do I need approval from my primary care physician for services to be covered?
** SEE NOTICE FOR NO SURPRISES ACT AND GOOD FAITH ESTIMATE NOTICE
Have any questions? You can always send me an email at drgail@villagecounselingllc.com or call or text me at 501-503-1500.
