Rates & Insurance

Rates & Insurance

Rates

$160 per 50 minute therapy session

$160 per hour for psychological assessment services (full rates for assessment will depend on the specific question you would like answered)

$175 for intake assessment for therapy and psychological assessment

Insurance

I am In-Network with Kaiser and Medicaid.

I am Out of Network with all other major insurance companies but can provide you with a Superbill to submit to your insurance and request Out of Network Benefits. I cannot guarantee that your insurance will provide any reimbursement for services.

Payment

I accept all major credit cards as forms of payment. Your credit card information will be stored on a secure platform and charged automatically after appointments.

Cancellation Policy

If you are unable to attend a session, please make sure you cancel at least 24 hours beforehand. Otherwise, you may be charged for the full rate of the session.

Your Rights and Protections Against Surprise Medical Bills

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.

What is “balance billing” (sometimes called “surprise 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 health care provider or visit a health care facility that isn’t in your health plan’s network.

Out-of-network” means providers and facilities that have not 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.

You are protected from balance billing for emergency services

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 cannot 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.

Colorado state law protects you from surprise medical bills when you are enrolled in a fully-insured plan and receive covered emergency services, other than ambulance services, from an out-of-network provider in Colorado. When you receive services for emergency medical care, usually the most you can be billed for emergency services is your plan’s in-network cost-sharing amounts, which are copayments, deductibles, and/or coinsurance. You cannot be balanced-billed for any other amount. This includes both the emergency facility and any providers you may see for emergency care.

Certain services at an in-network hospital or ambulatory surgical center

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 protections 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.

Under Colorado state law, a hospital, facility or health care provider must tell you if you are at an out-of-network location or at an in-network location that is using out-of-network providers. It must also tell you what types of services may be provided by any out-of-network provider.

You have the right to request that in-network providers perform all covered medical services. However, you may have to receive medical services from an out-of-network provider if an in-network provider is not available. If this happens, the most you can be billed for covered services is your in-network cost-sharing amount (copayments, deductibles, and/or coinsurance). These providers cannot balance bill you.

Under Colorado state law, you may be balance billed for emergency ambulance services that you receive if the ambulance service provider is a publicly funded fire agency; however, state law against balance billing does apply to private ambulance service companies that are not publicly funded fire agencies. Non-emergency ambulance services, such as ambulance transport between hospitals, are not subject to the state law against balance billing, so if you receive such services and they are not covered by your health plan, you may receive a balance bill.

When balance billing isn’t allowed, you also have the following protections:

  • You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network).
  • Your health plan will pay out-of-network providers and facilities directly.

Your health plan generally must:

  • Cover emergency services without requiring you to get approval for services in advance (prior authorization).
  • Cover emergency services by out-of-network providers.
  • Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
  • Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.

If you think you’ve been wrongly billed by a provider or facility, contact the federal government at: 1-800-985-3059 or the Colorado Department of Regulatory Agencies, Division of Insurance at https://doi.colorado.gov/for-consumers/file-a-complaint or call 1-800-930-3745.

Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.

Visit https://doi.colorado.gov/insurance-products/health-insurance/health-insurance-initiatives/out-of-network-health-care for more information about your rights under Colorado state law.

Any Other Questions

Please contact me for any additional questions you may have. I look forward to hearing from you!

 

Contact Me Today



2460 West 26th Avenue Suite 465-C
Denver, CO 80211

christina@activationpsych.com
(720) 893-1415

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