Therapy is an investment in your health.
Fees and Insurance Explanation and Expectation
SELF-PAY RATES:
We believe in transparency when it comes to our self-pay fees. Those clients who are uninsured, have insurance we do not participate with (we are considered out-of-network as a group or per provider) or elect not to use their insurance even if we are in-network and are deemed to be self-pay clients.
Please see our full fee rates below, effective January 1, 2024. If you cannot afford the current fee, don’t hesitate to get in touch with us to discuss possible options.
Work with Charity LPC, CST: Save on every session when you pay cash. All initial sessions must be paid in full at the time of booking.
New or Returning Client Intake Assessment: $200
Couple/Partner Therapy Session: $200 ($190 when paying cash)
A package of 6 $1050
A package of 12 $1800
***10.00 discount for all cash payments, ***
ACCEPTED PAYMENT METHODS:
Evanescence Counseling accepts all major credit cards. Our office policy is to keep a valid credit card on file for all clients, including privately insured clients. All clients are encouraged to use the credit card/HSA card they leave on file for recurring payments as this simplifies the payment process and reduces the chances of any errors in billing. Please note that missed session fees are typically not eligible as an approved HSA charge. Your responsibility is to provide us with a different form of payment should your HSA not allow missed session charges. Due to excessive credit/debit fees, refunds and reprocessing of costs will not be permitted unless it is our billing error.
INSURANCE/FINANCIAL POLICIES: ONLY APPLICABLE fOR MENTAL HEALTH dIAGNOSIS AND PURPOSE OF SERVICES:
Evanescence Counseling/Charity currently participates with, Aetna, Health Choice Oklahoma Healthcare Highways, BCBS. For other insurance plans, we can provide you with a receipt (Super Bill) for payment that you may use to file a claim for out-of-network benefits. Please note that if you waive your insurance (and self-pay at a self-pay rate) to see an associate-level unlicensed clinician you cannot file for out-of-network benefits and any payments you make will not go towards satisfying a deductible. We do not file claims for out-of-network plans and do not accept payment from insurers with whom we are out-of-network.
Co-payments, deductibles, and ALL session fees are due at the time of service. Bills/invoices for services are routinely sent.It is your responsibility to know what your specific insurance plan covers and what your responsibility is as a subscriber. Many of the newer plans now have large deductibles/co-insurance. Some self-funded plans (employer-driven plans) can opt out of telehealth coverages and/or have mental health benefits managed by a third-party administrator (TPA) or other specialized provider lists. We are not considered Teledoc, MDLive, Sesame Care, or PlushCare providers and are not part of any other special telehealth network. Some insurers may also require authorization for certain service codes.
Additionally, if you have more than one insurance policy, I will not accept you as a client, as I do not have a billing service to battle the insurance companies on who will pay. You are responsible for any denials we receive. Please review your plan carefully.
Although we make every effort to get claims processed successfully, you are responsible for any and all denials from your insurer, regardless of the reason for the denial.
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 coverageboth orally and in writingof their ability, upon requestorat 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 insurancean 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 one 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.
- If you receive a GFE from us please make sure to save a copy or take a picture of it. For questions or more information about your right to a Good Faith Estimate, visitwww.cms.gov/nosurprises
As of 05/19/2022, Any cancellations less than 48 hours before the scheduled appointment will be charged a half-session fee. Any cancellation less than 24 hours before the scheduled appointment will be charged a full session fee, regardless of the insurance billing the client.
Click here to read about our cancellation policy.
