Good Faith Estimate
For Cash Pay Clients
THE NOSURPRISES ACTSTANDARD NOTICE AND CONSENT DOCUMENTS
(OMB Control Number: 0938-1401)
SURPRISE BILLING PROTECTION FORM
The purpose of this document is to let you know about your protections from unexpected medical bills. It also asks whether you would like to give up those protections and pay more for out-of-network care.
You’re getting this notice because this provider or facility isn’t in your health plan’s network. This means the provider or facility doesn’t have an agreement with your plan. Getting care from this provider or facility could cost you more. If your plan covers the item or service you’re getting, federal law protects you from higher bills:
•When you get emergency care from out-of-network providers and facilities, or
•When an out-of-network provider treats you at an in-network hospital or ambulatory surgical center without your knowledge or consent.
Ask your health care provider or patient advocate if you need help knowing if these protections apply to you.
If you sign this form, you may pay more because:
•You are giving up your protections under the law.
•You may owe the full costs billed for items and services received.
•Your health plan might not count any of the amount you pay towards your deductible and out-of-pocket limit.
Contact your health plan for more information. You shouldn’t sign this form if you didn’t have a choice of providers when receiving care. For example, if a doctor was assigned to you with no opportunity to make a deciding whether to sign this form, you can contact your health plan to find an in-network provider or facility. If there isn’t one, your health plan might work out an agreement with this provider or facility, or another one.
See the next page for your cost estimate.IMPORTANT: You aren’t required to sign this form and shouldn’t sign it if you didn’t have a choice of health care provider when you received care. You can choose to get care from a provider or facility in your health plan’s network, which may cost you less.If you’d like assistance with this document, ask your provider or a patient advocate. Take a picture and/or keep a copy of this form for your records.
ESTIMATE OF WHAT YOU COULD PAY
YOUR OUT OF NETWORK PROVIDER: Miranda Campbell, MSM, MSW, LCSW
Total cost estimate of what you may be asked to pay:
It is your ethical right to determine your goals for treatment and how long you would like to remain in therapy unless you are pursuing mandatory treatment. Please see the breakdown of possible fees onpage four.
►Review your detailed estimate. See page four for a cost estimate for each item or service.
►Call your health plan. Your plan may have better information about how much of these services are reimbursable.
►Questions about this notice and estimate? Contact us at support@portcounseling.com
►Questions about your rights?
Georgia Residents, contact the Secretary of State
phone: 404.656.2881
website: https://sos.ga.gov
Florida Residents, contact the Florida Department of state
email: SecretaryofState@DOS.MyFlorida.com
phone: 850.245.6000
website: https://dos.myflorida.com
Prior authorization or other care management limitations
Except in an emergency, your health plan may require prior authorization (or other limitations) for certain items and services.
This means you may need your plan’s approval that it will cover an item or service before you get them. If prior authorization is required, ask your health plan about what information is necessary to get coverage.]
More information about your rights and protections
Visit https://www.cms.gov/files/document/model-disclosure-notice-patient-protections-against-surprise-billing-providers-facilities-health.pdfformoreinformationaboutyourrightsunderfederallaw.
By signing, I give up my federal consumer protections and agree I might pay more for out-of-network care. With my signature, I am saying that I agree to get the items or services from:
Miranda Campbell, MSM, MSW, LCSW
With my signature, I acknowledge that I am consenting of my own free will and am not being coerced or pressured. I also understand that:
•I’m giving up some consumer billing protections under Federal law.
•I may get a bill for the full charges for these items and services or have to pay out-of-network cost-sharing under my health plan.
•I was given a written notice on:
explaining that my provider or facility isn’t in my health plan’s network, the estimated cost of services, and what I may owe if I agree to be treated by this provider or facility.
•I got the notice either on paper or electronically, consistent with my choice.
•I fully and completely understand that someor all amounts I pay might not count toward my health plan’s deductible or out-of-pocket limit.
•I can end this agreement by notifying the provider or facility in writing before getting services.
IMPORTANT: You don’t have to sign this form. But if you don’t sign, this provider or facility might not treat you.
Federal Tax ID: 474473529
NPI: 1972836872
More Details About Your Estimate:
Diagnosis: Z65.9 Problem related to unspecified psychosocial circumstances
Out-of-network provider: Miranda Campbell, MSM, MSW, LCSW
The amount below is only an estimate; it isn’t an offer or contract for services. This estimate shows the full estimated costs of the items or services listed. It doesn’t include any information about what your health plan may cover. This means that the final cost of services may
be different than this estimate.
Contact your health plan to find out how much, if any, your plan will pay and how much you may have to pay.
Good Faith Estimate of Fees
90791 Initial Diagnostic Evaluation (Intake Session) $250
90832 Psychotherapy 16 - 37 minutes $150
90834 Psychotherapy 38 - 52 minutes $185
90867 Psychotherapy 53+ minutes $200
(**This fee is my hourly rate and used for all prorated calculations as indicated**)
90839 Psychotherapy for Crisis 30 - 74 minutes $200
90840+ Psychotherapy for a Crisis(add on code for each additional 30 mins) $150
90846 Family Psychotherapy without Patient Present, 50 minutes $250
90847 Family Psychotherapy withPatient Present, 50 minutes $250
90853 Group Psychotherapy $75
98970-98972 Online Digital Evaluation & Management (Responding to Email & Text Messages beyond scheduling purposes) Prorated based on the amount of time spent at hourly rate
Cancellation Fee Your - Half the rate of the cancelled session scheduled
(**Therapist Requires a 24-HourCancelation Fee**)
Production of Records
Letters: $25
Reports: $75
Total Estimate: This Good Faith Estimate explains your therapist’s rate for each service provided. Your therapist will collaborate with you throughout your treatment to determine how many sessions and/or services you may need to receive the greatest benefit based on your diagnosis(es)/presenting clinical concerns.
Please note that Place of Service (in office vs. telemental health)is not delineated above since the charges are identical.