E L I Z A B E T H E S T H A Y , L P C
COUNSELING AND WELLNESS
SERVICES
Individual Counseling
Relationship Counseling
Family Counseling
Play Therapy
The curious paradox is that when I accept myself just as I am, then I can change.
Carl Rogers
Teletherapy
POLICIES
Payment
Cash, Check, and Credit Cards are all acceptable forms of payment. Payment is due at the time of service
Cancellation Policy
Clients who do not show up for scheduled appointments and do not give 24 hours notice are responsible for full session fess.
NOTICE OF RIGHT TO GOOD FAITH ESTIMATE
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health 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 expected charges for medical services, including psychotherapy services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.
You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.
INSURANCE
In Network:
Blue Cross Blue Shield of LA PPO
Gilsbar
Out of Network Claims:
If you have out of network benefits, I am able to provide receipts so that you may seek reimbursement from your insurance company. Reimbursement rates will be determined by your insurance carrier.
Important Insurance Considerations
Services may be covered in full or in part by your health insurance or employee benefit plan. Please check your coverage carefully by asking the following questions:
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Do I have mental health insurance benefits?
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What is my deductible and has it been met?
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How many sessions per year does my health insurance cover?
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What is the coverage amount per therapy session?
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Is approval required from my primary care physician?