PRIVATE PAY

/60 min session
“Private Pay” is the term used to identify those patients whose costs are NOT covered by a government program, such as Medicare or Medicaid. Private pay can mean a person is paying for services themselves (private pay), or it can mean that a patient has commercial insurance and is having to cover some of the costs themselves (out-of-pocket).
  • 60 minute session
  • Get crystal clear sharp advice on whatever is on your mind now
  • Goal setting, personal and self development.

Insurance

/60 min session
By enrolling in an Insurance program, a provider agrees to accept payment under the Insurance program as payment in full for services rendered.
  • 60 minute session
  • Get crystal clear sharp advice on whatever is on your mind now
  • Goal setting, personal and self development.
Now Accepting the Following Insurance Coverage
 To determine if you have mental health coverage through your insurance carrier, it is suggested you contact your insurance carrier to determine benefit coverage, and identify any co-pay, deductibles, or co-insurance that might be applicable. Here are some questions to ask your provider: 
  • May I have a reference number and name of the person to whom I am speaking?
  • Do I have mental health insurance benefits?
  • What is my deductible and has it been met?
  • How many sessions per year does my health insurance cover?
  • What is the coverage amount per therapy session?
  • What is my deductible and has it been met?
  • Is approval required from my primary care physician?
  • Does my plan cover web-based therapy sessions?
  • Are there any specific requirements related to the service, such as coverage limitations to 12 visits per year, or are services contracted through a third party vendor, such as Teledoc or MDLive?
 Sierra Counseling & Therapy Services Inc. will verify benefits as a courtesy, but it is always the client’s responsibility to know and verify his/her own benefits. The client is responsible for any outstanding balance not covered by insurance. 
     GOOD FAITH ESTIMATE 
Under Section 2799B-6 of the Public Health Service Act health care providers and heath care facilities are required to inform individuals who are not enrolled in a plan of coverage or a Federal health care program, or not seeking to fill a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges. You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law heath care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. You have the right to receive a Good Faith Estimate for the total expected cost of any non- emergency items or services. This includes related costs like medical tests, prescription drugs, equipment and hospital fees. Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose for a Good Faith Estimate before you schedule an item or 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.

For more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

Please contact me for any additional questions you may have, I look forward to hearing from you!