Good Faith Estimate

H.R. 3630 - No Surprises Act

As of January 1, 2022 health professionals are required to provide good faith estimates to patients and clients who are uninsured, not using their health insurance, or are engaging in a service with an out-of-network provider. You may read the bill here: https://www.congress.gov/bill/116th-congress/house-bill/3630

What You Can Expect

If you are self-pay, you will be provided an estimated cost for services for the entire year based on weekly attendance. This estimate is only for the services provided by this office.

Your Rights

You have a right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes medical testing, prescription medication, medical equipment, and hospital fees. If you receive a bill that is more than $400 over your Good Faith Estimate, you may dispute the bill.

Finances

Fees

Individual - $100.00

Couples - $125.00

Methods of Payment

I accept American Express, Discover, Mastercard, and Visa for your convenience.

Insurance

Aetna

Cigna/Evernorth

Optum/United Healthcare

Out of Network

Cancellation Policy

Your appointment time is reserved for you. Please give 24-hour notice if you are not going to make your appointment. There is no charge for any session canceled 24 or more hours before the scheduled time. Sessions canceled with less than 24 hours notice will be charged $25.00 for the missed session.