Using Insurance for Services:
Some people prefer not to use their insurance for therapy for a variety of reasons. If you prefer to use your insurance, I am an out of network provider with insurance companies which means that I do not bill insurance companies directly. Your counseling services may be eligible for reimbursement through out-of-network benefits, medical spending or health care savings accounts. I am happy to provide the necessary documentation needed (known as a superbill) for reimbursement. health insurance plans and out-of-network benefits vary. Contact your health insurance directly for concrete information regarding your out-of-network benefits.
Please be aware that some insurance options do not cover telephone, video, or Walk and Talk sessions. Contact your insurance for more information if you are interested in these forms of counseling.
(OMB Control Number: 0938-1401)
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care - like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.
According to Georgia balance billing laws, insurers must pay for covered emergency medical services for covered persons regardless of network participation of the providers or facilities, without prior authorization and without retrospective denial of services deemed medically necessary.
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.
If you get other services at these in-network facilities, out-of-network providers can’t balance bill you unless you give written consent and give up your protections.
You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
According to Georgia balance billing laws, if charges arise from a covered person receiving non-emergency services from an out-of-network provider at an in-network facility, this is considered a “surprise bill,” and insurers must pay for covered services regardless of network participation of the provider.
When balance billing isn’t allowed, you also have the following protections:
If you believe you’ve been wrongly billed, you may contact: The Georgia Secretary of State at 404.656.2881 or https://sos.ga.gov/cgi-bin/email.asp if you prefer to communicate by email.
Visit https://www.cms.gov/files/document/model-disclosure-notice-patient-protections-against-surprise-billing-providers-facilities-health.pdf for more information about your rights under Federal law.
Visit https://oci.georgia.gov/news/2020-12-30/office-commissioner-insurance-and-safety-fire-posts-final-surprise-billing for more information about your rights under Georgia balance billing laws.
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