Restoration is Possible!
Fees & Insurance
Some clients may choose to use their insurance to pay for their counseling services, while others may choose to pay out of pocket.
Accepted insurance: Aetna, Allegiance, AmBetter, BlueCross Blue Shield, Cigna, Optum, Spring Health, United Healthcare,
Insurance Payments
insurance companies provide a quote of benefits and eligibility
Copay
A copay, short for "copayment," is a fixed amount of money that an individual is required to pay out of pocket for a specific healthcare service or medication covered by their insurance plan. It is a cost-sharing arrangement between the individual and their insurance provider.
It's important to review your insurance plan documents or contact your insurance provider directly to understand the specific copayment details and any limitations or exclusions that may apply.
Deductible
A medical deductible is the amount of money that you must pay out of pocket for covered healthcare services or expenses before your health insurance starts to contribute towards the costs. It is a fixed annual amount set by your insurance plan.
For example, if you have a $1,000 deductible, you would need to pay for the first $1,000 of covered medical expenses in a given year before your insurance company starts covering a larger portion of the costs.
Understanding your medical deductible is important in managing your healthcare expenses. It's essential to review your insurance plan and consult with your insurance provider to fully understand your specific deductible requirements and coverage details.
Superbill
A superbill is a detailed form or document that healthcare use to itemize the services provided to a patient during a visit. It is often used in the context of medical insurance billing. Superbills contain information such as the diagnosis, procedure codes, fees, and other relevant details necessary for insurance claims processing.
Here's some information about superbills and their role in insurance:
Documentation: A superbill serves as a record of the services rendered by a healthcare provider during a patient's visit. It includes important information such as the patient's personal details, date of service, provider information, and a breakdown of the services provided.
Superbills are useful for both healthcare providers and patients as they help facilitate accurate billing and reimbursement from insurance companies.
Coinsurance
Coinsurance is a term often used in health insurance to describe the shared cost between the policyholder and the insurance company for covered healthcare services. It is a percentage of the total cost of the service that the policyholder is responsible for paying, while the insurance company covers the remaining percentage.
Here are some key points to understand about coinsurance:
Cost-sharing: Coinsurance is a form of cost-sharing where the policyholder shares the cost of healthcare services with the insurance company. It is typically expressed as a percentage split, with the policyholder responsible for a certain percentage of the costs and the insurance company covering the rest.
It's important to review your insurance policy to understand the details of your coinsurance obligations and any other cost-sharing arrangements.
Good Faith Estimate
Under Section 2799B-6 of the Public Health Service Act, healthcare providers and healthcare facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal healthcare program or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, healthcare 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 healthcare 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