With these insurance details and Affinity’s Fee Schedule you can estimate how much reimbursement you could expect to offset your out-of-pocket expenses across the calendar year. the ‘reasonable and customary’ fee your insurance plan assigns to CPT codes 90834, 96130, and 99213. what percentage of your out-of-pocket expense is reimbursed after the Deductible is metģ. the Deductible for your Out-of-Network coverageĢ. Reimbursement amounts are determined by your specific insurance plan.Ĭall your insurance company or check their website to find out the specific ‘Out-of-Network’ coverage details for your plan. (Out-of-network providers can’t submit these claims.) The fee for appointments with an out-of-network provider is paid for out-of-pocket (rather than a co-pay).Ĭlients must submit reimbursement claims directly to their insurance company for services by an out-of-network provider. GENERAL OUT-OF-NETWORK COVERAGE DETAILS ACROSS ALL INSURANCE PLANS: Affinity providers are “opted-out” of Medicaid/Medicare and reimbursement is not available under these plans.) (Please Note: This information does not pertain to Medicaid/Medicare or Medicare Advantage insurance plans. We are not able to offer sliding scale or reduced rates. The Affinity Center accepts cash, credit card, check, and health savings account cards.
Please note that your specific out-of-network coverage details are defined by (and unique to) your insurance plan so we encourage you to look into your “out of network” behavioral/mental health benefits to better understand your out of pocket costs for services at our center. Instead, we will provide you a receipt (see below for instructions) for you to submit to your insurance company.
Our fees are due at the time of your appointment we will not directly bill your insurance company. Instead, we are considered “out-of-network providers” for behavioral or mental health services.
For this reason, we are not listed as “in-network providers” with any insurance plan. The Affinity Center is not contracted with any insurance companies. PAYMENT AND INSURANCE INFORMATION FOR THE AFFINITY CENTER: Please click link to read more about your rights and protections against surprise medical bills. For existing clients, each year, your clinician will provide you with a GFE for ongoing services unless waived by client. The Affinity Center will provide each of our new clients with a GFE for psychological services, which includes our consultation, a GFE for testing services if requested, and a GFE for medication management visits with one of our medical providers. Although The Affinity Center does not provide emergency care, nor is it an “in-network” facility, we are still guided by the APA (American Psychological Association) to follow the same protocol for our patients/clients by providing each with a Good Faith Estimate (GFE) for all services received at our Center. The aim is to offer protections to insured people against surprise billing and some protection to the underinsured and uninsured. We are required to post details concerning this act which was established to protect patients from receiving surprise medical bills when seeking emergency services or certain services from out-of-network providers at in-network facilities. NO SURPRISES ACT OF 2021 ANNOUNCEMENT FOR ALL CLIENTS: However, you are encouraged to consult with your individual insurance plan to determine your specific coverage if you have questions or concerns. Due to COVID-19 many insurance companies are indicating they will likely reimburse for telehealth therapy services provided via phone or video.
0 kommentar(er)
