Rates & Insurance

Rates

• $175/intake, $150/60 minutes, $125/45 minutes

Insurance

I accept Anthem BCBS, Cigna/Evernorth, Aetna, Carelon, Cigna, and Optum.

Depending on your current health insurance provider or employee benefit plan, it is possible for services to be covered in full or in part. Please contact your provider to verify how your plan compensates you for psychotherapy services.

I’d recommend asking these questions to your insurance provider to help determine your benefits:

• Does my health insurance plan include mental health benefits?
• Do I have a deductible? If so, what is it and have I met it yet?
• Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?
• Do I need written approval from my primary care physician in order for services to be covered?

Payment

I use Alma to bill clients.

Surprise Billing

SURPRISE/BALANCE BILLING DISCLOSURE

Beginning January 1, 2020, Colorado state law protects you from "surprise billing," also known as "balance billing." These protections apply when:

-You receive covered emergency services, other than ambulance services, from an out-of-network provider in Colorado, and/or

-You unintentionally receive covered services from an out-of-network provider at an in-network facility in Colorado What is surprise/balance billing, and when does it happen? If you are seen by a health care provider or use services in a facility or agency that is not in your health insurance plan's provider network, sometimes referred to as "out-of-network," you may receive a bill for additional costs associated with that care. Out-of-network health care providers often bill you for the difference between what your insurer decides is the eligible charge and what the out-of-network provider bills as the total charge. This is called "surprise" or "balance" billing.

When you CANNOT be balance-billed:

-Emergency Services

If you are receiving emergency services, the most you can be billed for is your plan's in-network cost-sharing amounts, which are copayments, deductibles, and/or coinsurance. You cannot be balance-billed for any other amount. This includes both the emergency facility where you receive emergency services and any providers that see you for emergency care.

-Nonemergency Services at an In-Network or Out-of-Network Health Care Provider

The health care provider must tell you if you are at an out-of-network location or at an in-network location that is using out-of-network providers. They must also tell you what types of services that you will be using may be provided by any out-of-network provider.

You have the right to request that in-network providers perform all covered medical services. However, you may have to receive medical services from an out-of-network provider if an in-network provider is not available. In this case, the most you can be billed for covered services is your in-network cost-sharing amount, which are copayments, deductibles, and/or coinsurance. These providers cannot balance bill you for additional costs.

Additional Protections

Your insurer will pay out-of-network providers and facilities directly.

Your insurer must count any amount you pay for emergency services or certain out-of-network services (described above) toward your in-network deductible and out-of-pocket limit.

Your provider, facility, hospital, or agency must refund any amount you overpay within sixty days of being notified.

No one, including a provider, hospital, or insurer can ask you to limit or give up these rights.

If you receive services from an out-of-network provider or facility or agency, you may still be balance billed, or you may be responsible for the entire bill. If you intentionally receive nonemergency services from an out-of-network provider or facility, you may also be balance billed.

If you want to le a complaint against your health care provider, you can submit an online complaint by visiting this website: https://www.colorado.gov/pacic/dora/DPO_File_Complaint.

If you think you have received a bill for amounts other than your copayments, deductible, and/or coinsurance, please contact the billing department, or the Colorado Division of Insurance at 303-894-7490 or 1-800-930-3745.

This law does NOT apply to ALL Colorado health plans. It only applies if you have a "CO-DOI" on your health insurance ID card.

Please contact your health insurance plan at the number on your health insurance ID card or the Colorado Division of Insurance with questions.

MY RESPONSIBILITIES AS A CLIENT

I realize that counseling requires my cooperation and participation in order for it to be productive. If I fail to cooperate and participate in therapy, I understand my therapist is willing to provide an opportunity whereby I may continue counseling with her, however, I must make some changes. I understand that noncompliance with this plan may result in termination of counseling with my current therapist. I also agree to show up to scheduled appointment on time and realize that if I have more than two no show appointments or an over-due balance that I have not set up a payment plan for, this may result in a delay in scheduling or termination of therapy.

Good Faith Estimate

GOOD FAITH ESTIMATE for cash pay clients

If you attend weekly 55-minute sessions, you will pay $7,800/year for services.

Cancellation Policy

No-Show and Late Cancellation Fees`

I request that you give 48 hours notice if you need to cancel an appointment or are unable to attend therapy. The charge for all late cancellations or no shows is $125. Insurance does not cover these fees. Please note that if you come to session under the influence of any mood-altering substances, you will be responsible for the session fee as listed under the fee section and your appointment will be canceled and rescheduled for a later date. IF YOU ARE SICK, please DO NOT come to your session. We can arrange a teletherapy appointment in place of the in office visit. You may late cancel OR miss one session without notice per calendar year (Jan-Dec) without charge (they don't carry over if you don't use them). If you are habitually late, miss sessions, or no show appointments, services may be terminated and referrals will be provided.

If you are late for your appointment, I will wait 15 minutes for you to join the session (telehealth) or come to the office, after which I will cancel the session and you will be charged the the missed appointment fee of $125 for the session. You are responsible for knowing when your appointment is scheduled and attending or cancelling with 48 hours notice. I DO NOT MAKE REMINDER CALLS.

Any Other Questions

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