RATES & INSURANCE

Please, see the Financial Policy Form within the intake paperwork under the Forms tab for greater details.*

  • IN-NETWORK (IN): The Clinic and/or your Therapist is currently in-network for the following insurances. The Clinic will bill your insurance company directly if you are in-network. Any information provided to you by The Clinic is a quote, not a guarantee. The Clinic cannot provide guarantees of coverage or in-network status.

    • Aetna: Several Aetna networks are active, including First Health/Cofinity and Coventry Health Care.

    • Blue Cross Blue Shield (BCBS): The following BCBS of Michigan (BCBSM) networks are currently active: Traditional, PPO TRUST, and Medicare Plus Blue PPO. Blue Care Network (BCN) is NOT an active network and does not usually provide out-of-network benefits.

    • Medicare: Michigan Medicare Part B. However, most Medicare Advantage plans (aka Medicare Part C) are NOT active networks and may not provide out-of-network benefits. Medicare Plus Blue PPO (through BCBS) is an exception.

  • Out-of-Network: Under most circumstances, the Clinic will attempt to bill your insurance company for out-of-network benefits, if you have them. Alternatively, The Clinic can provide superbills for you to request reimbursement from your insurance company. The Clinic will not agree to a Single Case Agreement (SCA) under most circumstances.

  • Private Pay: If your insurance is not accepted at The Clinic, or your insurance company rejects the bill (and attempts to resolve it were unsuccessful), the below fee schedule applies. The initial evaluation (“intake”) is $250. Full sessions (“60 minutes”) and parent sessions are $210. Three-quarter sessions (“45 minutes”) are $175.

  • Cancellation Policy: Appointments that are missed or cancelled with less than a 24-hour notification are billed at the full session rate.

  • Payments: The Clinic currently accepts cash, checks, Visa, Mastercard, Discover, American Express, PIN Debit, Health Savings Account (HSA) transactions, and Flexible Spending Account (FSA) transactions for deductibles, copays, coinsurances, and other services. However, HSA/FSA cannot be charged for missed appointments and other fees arranged with The Clinic

No Surprises Act

Effective January 1, 2022, the No Surprises Act, which Congress passed as part of the Consolidated Appropriations Act of 2021, is designed to protect patients from surprise bills for emergency services at out-of-network facilities or for out-of-network providers at in-network facilities, holding them liable only for in-network cost-sharing amounts. The No Surprises Act also enables uninsured patients to receive a good faith estimate of the cost of care.

Good Faith Estimate (GFE)

RIGHT 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, health care 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 health care 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 health care 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 to save a copy or picture of your Good Faith Estimate.

 Get More Information

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call the No Surprises Help Desk at 1-800-985-3059.

* DISCLAIMER: The Clinic will make efforts to keep this webpage up to date. However, if there is ever a disagreement between the information on this webpage and the Financial Policy Form that you signed, the document that you signed will take precedence.