COST PER SESSION:
Initial Evaluation and Treatment Planning $190
Ongoing Sessions: $160
AETNA
EXCELLUS BLUE CROSS BLUE SHIELD
BLUE CROSS BLUE SHIELD
UNITED HEALTHCARE
OPTUM
OXFORD
UMR
Out of Network Provider
You can use your Out of Network Provider benefits for my services. There are two options for this. The first, is for my billing company to bill your insurance and you pay the difference (typically a percentage like 20%) or you pay in cash and I provide a receipt that you can use for reimbursement.
Copay or payment is due at time of service. I also accept Cash, Check, FSA's, and Credit Cards
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health 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 questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059.
claritytherapycny.com
6834 East Genesee Street, Fayetteville, NY 13066
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