Mosaic Stones

One step at a time.

 

RATES & INSURANCE

APPOINTMENT REQUEST

RATE

$260 for first/intake session

$180 for a 50 minute session thereafter

I charge for other professional services you may need including school observations, report writing, meeting with other professionals upon your request or for purposes of school-based support, preparation of records or treatment summaries, educational consultation, etc. at the rate of $180 per hour, or in 15 minute increments.  These services may not be covered under your insurance and may be an out of pocket expense.

PAYMENT

Full payment is required at the end of each session. Through my Simple Practice Electronic Health Record-Client Portal your credit card is securely stored for me to charge at the end of each session.  Please note that although I share physical office space with other mental health practitioners at Seattle Psychology, I am an independent practitioner solely responsible for the care of my clients.

CANCELLATION POLICY

Regularly scheduling and keeping appointments is essential to effective counseling, I emphasize the importance of attending all scheduled sessions. If for some reason you are unable to keep a scheduled appointment, please give as much notice as possible. ​For appointments cancelled less than 48 hours prior to the appointment time, you will be charged the full fee for the session.​ Insurance does not reimburse for canceled sessions.

Please arrive on time to the (virtual) waiting room for your session; sessions will end at the scheduled time regardless of when you arrive. If you have not arrived in the (virtual) waiting area by 15 minutes into the session, you will be responsible for the full fee and may not be seen at that time.

INSURANCE

At this time I have made the decision not to work with insurance providers.  Aimee Horn Counseling & Consultation, PLLC does not currently bill insurance directly for services, you will be expected to pay at time of service via a credit/debit/HSA card through the Client Portal.  An invoice will be provided at the end of each session, as well as a Superbill which you will need to submit to your insurance for reimbursement.  The Superbill will contain all necessary documentation for insurance reimbursement. 

 

Please check your coverage in advance if you are interested in out-of-network reimbursement.  Common CPT codes are: 90791, 90834, 90837.  You will need my NPI number which you can find at the bottom of the page.  Please check with your insurance company about reimbursement for Telehealth Visits as well. 

I'm happy to provide a free 15 minute phone consultation to discuss your therapy needs prior to scheduling .

Please contact me directly to set up your appointment.

CLIENT FORMS

If you are a new client, please contact me to request more information and a login to the Simple Practice Electronic Health Record Client Portal. Existing clients may sign into your client portal to access forms, change credit card information, etc.

 
 
 

Good Faith Estimate

Under the No Surprises Act (H.R. 133 - which went into effect on January 1, 2022), health care providers need to give clients or patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • This Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created. 

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes (under the law/when applicable) related costs like medical tests, prescription drugs, equipment, and hospital fees.

  • The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill. 

  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available. You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill. There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on the Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount. 

  • Make sure your health care provider gives you a Good Faith Estimate within the following timeframes:If the service is scheduled at least three business days before the appointment date, no later than one business day after the date of scheduling;If the service is scheduled at least 10 business days before the appointment date, no later than three business days after the date of scheduling; or If the uninsured or self-pay patient requests a good faith estimate (without scheduling the service), no later than three business days after the date of the request. A new good faith estimate must be provided, within the specified timeframes if the patient reschedules the requested item or service.

  • The No Surprises Act has a universal waiver form required — which Aimee Horn Counseling & Consultation, PLLC has adapted into an identical online form. Ask your provider for a good faith waiver.

  • This is the public disclosure of the “Good Faith Estimate”

 

Note: A Good Faith Estimate is for your awareness only. It does NOT involve you needing to make any type of commitment.

 

To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call 800-985-3059. For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call 800-985-3059. Keep a copy of this Good Faith Estimate in a safe place or take pictures of it. You may need it if you are billed a higher amount.

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