Paperwork and Notifications

paperwork & Details

no surprises act & 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 email us at billing@atotcc.com.

payment

I am primarily a private pay based practice.

I also bill out-of-network. If you have an insurance plan that includes coverage for out-of-network services, I am happy to supply you with monthly invoices (Superbills) that you can submit for reimbursement. Many employer-based FSAs also cover some or all of therapy expenses. If you are not sure about your coverage, please contact your insurance provider’s Member Services line (usually listed on the back of your insurance card) and ask the following questions to help determine your benefits:

Does my health insurance plan include out-of-network therapy 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?
What is my co-pay (dollar amount) or co-insurance (percentage amount)?
Do I need written approval from my primary care physician in order for services to be covered?
If I am receiving Telehealth services, does my insurance cover Telehealth? (Most insurance plans are covering Telehealth during the Covid-19 crisis; it is important, however, to ask in advance.)

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