INSURANCE

How insurance is handled at The Healing Nest

Self-Pay Process

The Healing Nest Play Therapy Center is a private pay practice. I value the privacy of our clients and have chosen not to participate in insurance panels. In doing this, we are not required to provide diagnostic codes that remain on a child’s permanent mental health record.

Payment is required at the time of treatment.

Out-of-Network Reimbursement

Even though I do not accept insurance, it does not mean you cannot use some of your insurance benefits while keeping your child’s information confidential.

If you have out-of-network benefits, you may be eligible for reimbursement. This is how it typically works:

If your insurance plan includes out-of-network coverage, your therapist can provide you with documentation called superbill (using an ICD-10 code that indicates a diagnosis is being deferred) for reimbursement of session fees. Full payment is required at time of treatment, and then you will submit the documentation to your insurance company. Your insurance provider will reimburse you directly.

NO SURPRISE ACT NOTICE
YOUR RIGHT TO A “GOOD FAITH ESTIMATE”

You have the right to receive a ‘Good Faith Estimate’ explaining how much your medical care may cost.

Under the law, health care providers need to give patients who do not have insurance, or who are not using insurance, a cost 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, drugs, equipment, and hospital fees.

Your health care provider must give you a ‘Good Faith Estimate’ in writing for scheduled services within designated timeframes. You can also ask your health care provider 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-MEDICARE (1-800-633-4227).

INSURANCE

How insurance is handled at The Healing Nest

Self-Pay Process

Out-of-Network Reimbursement

NO SURPRISE ACT NOTICE YOUR RIGHT TO A “GOOD FAITH ESTIMATE”

NO SURPRISE ACT NOTICE
YOUR RIGHT TO A “GOOD FAITH ESTIMATE”