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I currently accept the following insurance plans;
Aetna
Quest Behavioral Health
Cigna
Carelon Behavioral Health
Blue Cross and Blue Shield of North Carolina
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In compliance with the “No Surprises Act” effective January 1, 2022, all healthcare providers are required to notify clients of their federal rights and protections against “surprise billing.”
The law requires that we notify you of your federally protected rights to receive a notification when services are rendered by an out-of-network provider, if a client is uninsured, or if a client elects not to use their insurance.
Additionally, we are required to provide you with a “Good Faith Estimate” of the cost of services. The estimate provided is based on weekly sessions over the course of 12 months with 2 weeks off for holidays and vacations. Utilizing this information for the “Good Faith Estimate” equates to Intake and 49 individual weekly sessions. You are not required to attend this many sessions, it is only provided per federal law so that you are aware of the potential charges for attending weekly sessions for a 12-month period.
It is difficult to determine the true length of treatment for mental health care, and each client has a right to decide how long they would like to participate in mental health care. Therefore, Lane to Change Counseling, PLLC is also providing you with the fee schedule for the services typically offered . We will collaborate with you on a regular basis to determine how many sessions you may need.
Estimate of what you may owe for 12 months of service based on 1 session per week: $ 8,750
The estimated costs are valid for 12 months from the date of the Good Faith Estimate. If you have health insurance, and the services you are seeking are covered by your health care plan, you may be able to get the items or services described in this notice from providers who are in-network with your health plan.
Disclaimer: This Good Faith Estimate shows the costs of items and services that are reasonably expected for the above noted service. The estimate is based on information known at the time the estimate was created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if you attend additional sessions or special circumstances occur. If you are billed for more than this Good Faith Estimate, you have the right to dispute the bill.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059.
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Lane to Change Counseling, PLLC - Fee Schedule
Code 90791: Intake session (90 minutes) :$210
Code 90837 :Individual Therapy Session (55 minutes): $175
Code 90834: Individual Therapy session (40 minutes) : $150
Cancellation Fee/No Show Fee- Less than 24 hours notice : $150
Additional Information:
Payment is due at the time of service.
We accept credit/debit cards, and the following insurance plans; Aetna, Quest Behavioral Health, Cigna, Carelon Behavioral Health, Blue Cross and Blue Shield of North Carolina.
Cancellation policy: Please provide at least 24 hours’ notice to avoid a $150 cancellation fee.
For questions or to discuss payment options, contact our office directly.
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Currently, I only offer telehealth sessions. However, this is expected to change in the future.
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We'll convene through a HIPAA-compliant platform, ensuring your privacy. It's crucial to be in a secure, private environment; please refrain from participating in sessions while driving.
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Lane to Change Counseling, PLLC is not a crisis response center. If you are having a mental health crisis please see below:
If this is a life threatening emergency please call 911. Ask for a CIT officer. These officers are trained in mental health emergencies.
Please utilize the link below to find crisis support near you.
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CONFIDENTIALITY & PRIVACY POLICY
The law protects the relationship between a client and a mental health professional, and information cannot be disclosed without written permission.
Exceptions include:Suspected child abuse or dependent adult or elder abuse, for which I am required by law to report this to the appropriate authorities immediately.
If a client is threatening serious bodily harm to another person/s, I must notify the police and inform the intended victim.
If a client intends to harm himself or herself, I will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, I will take further measures without their permission that are provided to me by law in order to ensure their safety.
If you have any questions about our policies or your privacy, please discuss your concerns with your provider.
See link below for a summary of the HIPAA privacy rule.
https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html