We are in-network with:
We are in network with Blue Cross Blue Shield PPO and Blue Choice and Medicare. Our services may be covered in full or in part by your health insurance. Our New Patient Concierge Erin will check your benefits for you, however, you should call your insurance company yourself and find out what your benefits are. When you complete your intake paperwork, you will receive a comprehensive fee schedule.
Out of Network Patients We want to make sure that our excellent services are accessible to patients without health insurance or with plans other than Blue Cross Blue Shield or Medicare. The full self-pay fee will be charged to your card on file at the time of service, however, we will be happy to also submit your out of network claims to your insurance company on your behalf to expedite any reimbursement that you may qualify for if you wish. When you speak with our New Patient Concierge Erin, she will run through fees with you. When you fill out your intake paperwork, you'll be provided with a comprehensive fee schedule and a Good Faith Estimate (see below under the No Surprises Act section).
We accept Care Credit to help you get the care you need now. We also offer NO INTEREST IF PAID IN FULL Special Promotional Financing for 6, 12, and 18 months for fees over $200 and REDUCED APR AND FIXED MONTHLY PAYMENTS REQUIRED UNTIL PAID IN FULL Special Promotional Financing for 24, 36, 48, and 60 months for fees over $1000. This can help families with out of network coverage afford our high quality neuropsychological, bariatric, donor conception and surrogacy evaluations. Apply for Care Credit through our Care Credit Portal here.
Payment
We require a credit card on file. Our Billing Department will automatically process your co-pay or self-pay fee within 72 business hours of your session. Co-insurance and deductibles will be automatically charged to your credit card after the claim is processed by Blue Cross Blue Shield or Medicare.
Cancellation Policy
If you do not show up for your scheduled therapy appointment, you will be required to pay a no-show fee that is not covered by insurance. If cancel with less than a 24 hour notice, you will be required to pay a late cancellation fee that is not covered by insurance.
No Surprises Act
FOR PATIENTS WHO DO NOT HAVE INSURANCE, ARE CHOOSING NOT TO USE THEIR INSURANCE, OR ARE USING OUT OF NETWORK BENEFITS
YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS
(OMB Control Number: 0938-1401)
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 health care 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.
You are protected from balance billing for:
Emergency services
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.
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 those providers may bill you 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 can’t 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.
- 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.Your health plan generally must:
If you believe you’ve been wrongly billed, you may contact: Illinois Department of Financial And Professional Regulation, 320 West Washington St, 3rd Floor, Springfield, IL 62786, 1-888-473-4858
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.
STANDARD NOTICE
“Right to Receive a Good Faith Estimate of Expected Charges” Under the No Surprises Act
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 choosing not to use their insurance or are using out of network benefits an estimate of the bill for medical items and services.
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- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This estimate 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 one 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.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call us at 630-708-0362