Payment Information
No Surprises Act and Good Faith Estimates
“Starting in 2022, there are new protections that prevent surprise medical bills. If you have private health insurance, these new protections ban the most common types of surprise bills. If you’re uninsured or you decide not to use your health insurance for a service, under these protections, you can often get a good faith estimate of the cost of your care up front, before your visit. If you disagree with your bill, you may be able to dispute the charges. Here’s what you need to know about your new rights.” (https://www.cms.gov/newsroom/fact-sheets/no-surprises-understand-your-rights-against-surprise-medical-bills)
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 call 1-800-985-3059.
Service Fees
First/Intake Session (75 minutes) $210
Extended Session (60 minutes) $190
Session (45 minutes) $165
Brief Session (30 minutes) $115
Parent Meeting (25 minutes) $65
Late Cancel/No-Show $115
Legal Fees (per hour) $350
Payment
Payment must be made by cash, check, mobile payment, or credit card at the time services are rendered. Mobile payment can be sent to my phone or email via Zelle. Credit card payments are processed directly through the client portal: https//drjenniferhawthorne.secure-client-area.com