Frequently Asked Questions regarding payments

Please reach me at melissawatson@deafinitelycan.com or office@deafinitelycan.com if you cannot find an answer to your question or have any additional questions. Camilla James from Queen Mental Health Billing Solutions, LLC ( https://queenmhbsolutions.com) handles my billing and insurance claims.

Which insurances do you accept?

Insurances accepted are:

Aetna

Aetna Medicare

Pennsylvania Health & Wellness (Wellcare & Ambetter)

Medicare B

Access (Medicaid)

Medicaid/Medicare dual plans

Independence Blue Cross

Geisinger Health Plan

United Behavioral Health

Highmark Blue Shields

Community Behavioral Health

Keystone First

Working on becoming in network with insurance providers. I can do out of network agreements with insurance companies.

How are rates determined with insurance companies?

The insurance company determines the rates and establishes a contract with me. I bill the insurance company after I see you. If the session did not happen, I do not bill the insurance company.

Ihave insurance but it is not listed on your website

First, we will discuss your insurance to make sure I am in network with them. If not, then we will see if your plan allows for out-of-network providers. If so, I will start the process with your insurance to set up out of network/nonpar agreement.

Do you accept private contract?

Yes, I accept private contracts with vendors other than insurance companies

I do not have insurance or I do not want to use my insurance. What is your self-pay fee?

My fee is $125.00 per session.

What if I cannot afford the rate?

I am able to provide a sliding scale for few slots on my caseload. I will work with you on the rate that is affordable to you.

What type of payments do you accept for self-pay or co-pays?

I accept cash, credit card, debit card, and HSA/FSA cards. I collect card payments through a HIPAA compliant APP for therapist that is called "Ivypay". The app will text you a link to your cell phone number and have you enter your card information. This APP will save your card on file, so there is no need to present it at the time of session.

For copays, I collect copays immediately after session unless we have an agreed payment plan.

Unlock Your Potential with DEAFinitely CAN Counseling & Services, LLC

Good Faith Estimate: For clients who don't have insurance or not planning to use their own insurance

Under Section 2799B0-6 of Public Health Service Act, health care providers and health care facilities are required to inform individuals who don't have insurance of plan or coverage or a Federal healthcare program, or not planning to use their insurance 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 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 healthcare 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 healthcare 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 you 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

Frequently Asked Questions regarding payments

Unlock Your Potential with DEAFinitely CAN Counseling & Services, LLC

Good Faith Estimate: For clients who don't have insurance or not planning to use their own insurance

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