INSURANCE QUESTIONS

Kevin participates as an in-network provider with many insurance plans including Medicare, Horizon BCBS, United, as well as others. Please see the full list by clicking here.

Beth participates with Horizon BCBS & Aetna insurance & is an out-of-network provider for many of her other counseling clients. If you have other insurance, this means, you will be provided with an itemized receipt so you may submit for any reimbursement from your insurance directly should you choose.

*****If you’re using insurance, we always recommend you call your specific plan to check network participation prior to therapy as there are a vast number of plans currently on the market which can vary as to network status. *****

Clients who are uninsured or are self-pay (or not using their insurance benefits) will be provided a Good Faith Estimate prior to the start of care. You will be asked to consent to not using your insurance, if you have any, as part of our Treatment Consent process.

For more information about Good Faith Estimates & your rights, please see below.

Any questions, please feel free to ask us!

Good Faith Estimate:

A Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created. The Good Faith Estimate is only an estimate and final services & charges may differ at the conclusion of the estimate period.

The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill.

If you are billed for more than this Good Faith Estimate, you have the right to dispute the bill.

You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available. This will not adversely affect the quality of services rendered.

The Estimate is not a contract and services may be terminated by either party at any time.

You may also start a dispute resolution process with the US Department of Health & Human Services (HHS). If you choose the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.

There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the heath care provider or facility, you will have to pay the higher amount.

To learn more and get a form to start the process, go to: www.cms.gov/nosurprises or call HHS at: 1-877-696-6775.

For questions or more information about your right to a Good Faith Estimate or the dispute process, visit: www.cms.gov/nosurprises or call HHS at: 1-877-696-6775.

You may also contact us by clicking here: Counseling in Point Pleasant, NJ