"NO SURPRISES ACT"
Effective January 1, 2022, a provider must furnish a self-pay patient with the notice and GFE prior to all scheduled services or by request if the patient is shopping for care (and not yet at the point of scheduling). This includes, but is not limited to, office visits, therapy, diagnostic tests, infusions, and surgeries.
Who qualifies as a self-pay patient?
A provider’s duty to provide notice and a GFE applies to self-pay patients, i.e., an individual who (1) does not have benefits for an item or service under a group health plan, group or individual health insurance coverage offered by a health insurance issuer, federal healthcare program, or a health benefits plan; or (2) chooses not to use his or her coverage benefit for the item or service.
At this time, I do not accept insurance in my practice, therefore, choosing my services qualifies you as a self-pay client/patient.
Please note, therapy is a little different in that we can’t necessarily provide an estimate of how long it takes to treat a relationship issue, address anxiety, or focus on and minimize depression, etc. There are a number of variables that are involved in quantifying what will be needed at times. Should a client decide to return for a “tune up,” the good faith estimate may need adjusting.
GOOD FAITH ESTIMATE DETAILS
Together, we will discuss your individual Good Faith Estimate and you will receive a copy. However, in this quest for transparency, there is a sample estimate included below.
This displays the cost of therapy at different weekly intervals for a 12 month period. The length of time may vary and may not take a full 12 months, however this sample provides a maximum length of time and cost for a calendar year.
This does not account for client requests for additional visits. However, it should provide a gauge of the estimated cost of therapy should you choose Solid Ground Counseling in Cedar Park.
INDIVIDUAL CLIENT: GOOD FAITH ESTIMATE
Individual Per Session Fee $140 (50 minutes)
Weekly session for 50 weeks in calendar year $7000
Client sees therapist every other week for 50 weeks in calendar year $3500
Client sees therapist every 4 weeks for 50 weeks in calendar year $1680
COUPLE/FAMILY CLIENTS: GOOD FAITH ESTIMATE
Couples Per Session Fee $165 (50 minutes)
Couple sees therapist every week for 50 weeks in calendar year $8250
Couple sees therapist every other week for 50 weeks in calendar year $4125
Couple sees therapist every 4 weeks for 50 weeks in a calendar year $1980
Please note: the frequency with which clients are seen, and the duration of time in which they are seen, is dependent on client need. The above examples are for illustrative purposes only and are not specific to you or your treatment. Instead they are meant to show the variation of cost over the course of a year.
DO YOU ACCEPT INSURANCE?
I do not accept insurance at this time. While I cannot guarantee reimbursement, I can provide documentation upon request with the appropriate details for you to submit to your insurance provider for possible reimbursement.
DO YOU OFFER A SLIDING SCALE?
I do not offer a sliding scale. However, I am an Open Path Collective partner. This is a nationwide non-profit organization that partners with mental health professionals to offer affordable services to those in need. I have limited spaces for Open Path clients. Feel free to check out my Open Path profile if you would like to learn more.