For payment, I accept all major credit and debit cards (Visa/Mastercard, Discover, American Express), FSA/HSA cards, and online payment methods such as Zelle. For clients I see in person, I also accept checks (There is a $35 fee for returned checks).

My practice is private pay, meaning I accept payment at the time of service and am considered out of network with health insurance plans. If you have out-of-network benefits with your policy, I can provide you with statements for insurance reimbursement (known as ‘superbills’) for you to submit to to your insurance company.

Fees & Payment

 

Estimate for Cost of Services

Under the No Surprises Act (H.R. 133) 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. 

What is a Good Faith Estimate?

This Good Faith Estimate shows the cost of items and services that are reasonably expected for your health care needs for an item or service. This estimate is based on information available at the time the estimate is created.

  • 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 (e.g., appeal) the bill. 

  • You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available. 

  • You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill. 

  • There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on the Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount. 

  • Make sure to save a copy or picture of your Good Faith Estimate. 

Timeframes

If the service is scheduled at least three business days before the appointment date, an estimate should be received no later than one business day after the date of scheduling;

  • If the service is scheduled at least 10 business days before the appointment date, an estimate should be received no later than three business days after the date of scheduling; or

  • If the uninsured or self-pay patient requests a good faith estimate (without scheduling the service), an estimate should be received no later than three business days after the date of the request. A new good faith estimate must be provided, within the specified timeframes if the patient reschedules the requested item or service.

Note: A Good Faith Estimate is for your information only. It is not a contract for services.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059.