Therapy cash fees

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Masters Level Intern 

60 -80 minute individual intake session: $75

50 minute individual session: $50

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Associate Licensed Therapists: LAC

60-80 minute individual intake session: $155

50-minute individual session: $125

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Independently Licensed Therapists:  

60-80 minute individual intake session: $180

50-minute individual session: $150

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Couples Counseling:  

90-minute couples intake session: $350

50-minute individual session (relating to couples therapy): $200

50-minute couples session: $200

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Group Counseling:  

Per session: $50

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Katy Kandaris-Weiner Clients:  

only be available to cash/self-pay clients

Intake: $225

50-minute session: $175

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Insurance

All our associate licensed counselors and independently licensed counselors are in-network providers with Blue Cross Blue Shield (BCBS), Aetna, Cigna, and The Arizona Board of Regents (ABOR) Student Health Insurance Plan underwritten by UnitedHealthcare Student Resources.  All our independently licensed counselors are in-network with United Healthcare/UMR.  We DO NOT take any EAP plans.

If you plan to use insurance, information regarding your coverage will need to be obtained at the time of scheduling an initial intake appointment. Please know that not all plans have mental health benefits. Also, while I do offer billing services, it is a courtesy and it is ultimately up to you to find out what your insurance covers.  

For questions about your insurance please contact your insurance provider or you can call the Inner Balance Counseling billing department (option 5 on voicemail menu). 

For all other insurance plans, Inner Balance is considered an "out-of-network" provider. What this means is that at the end of each month we will provide you with an invoice to submit for reimbursement.  If you are not covered by one of the above insurances and plan to submit anyways, we will gladly walk you through this easy process. Many clients find they are able to obtain a percentage from insurance for billed OON services. 

If you are not covered by BCBS, Cigna, Aetna, or the above mentioned plans and would like to use insurance, here are some questions to ask insurance before we meet:

• Do I have out-of-network benefits for mental health services?
• If so, is there a deductible that needs to be met before I can start obtaining reimbursement?
• If so, how much is this deductible and how far am I in meeting it for this calendar year?
• What percentage of my services will you reimburse for once my deductible is met?
• What is the process to submit for out-of-network reimbursement? 

Inner Balance Counseling, LLC accepts HSA/Flexible Spending Accounts and/or all major credit cards methods of payment for therapy services.

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Inner Balance Counseling, LLC

1234 S Power Rd Suite 252, Mesa, AZ 85212

602-675-6185

‍Hello@innerbalanceaz.com

www.innerbalanceaz.com 

YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE

MEDICAL BILLS

(OMB Control Number: 0938-1401)

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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 provider or visit a healthcare 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.

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You are protected from balance billing for:

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 that those providers may bill you for 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 cannot 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.

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 believe you’ve been wrongly billed, you may contact:  

Arizona Board of Behavioral Health Examiners

1740  WEST ADAMS STREET, #3600

PHOENIX, AZ 85007

Main Number: 602-542-1882

Fax Number: 602-364-0890

information@azbbhe.us   

https://www.azbbhe.us/

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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.