THERAPY SESSIONS & FEES

Therapy sessions are 50 minutes in length and are scheduled on a weekly or bi-weekly basis.

Fee: 

• $205 for a 50 min-session

CASH, CHECKS, & CREDIT CARDS

Cash, checks, and credit cards are accepted. Please make checks out to "Stacey Hill Therapy."

24 HOUR CANCELLATION POLICY  

You will be charged for any appointments you miss or cancel without 24 hours notice.  For appointments that are missed, or cancelled without 24 hours notice, you will be responsible for all scheduled session fees for that day.  If you arrive late to an appointment, the appointment will still end at the scheduled time.  

INSURANCE COVERAGE

Counseling services may be covered in full or in part by your health insurance or employee benefit plan. I am an "out-of-network provider" for insurance purposes. Upon request, I will provide you with a statement that you can submit to your insurance company for reimbursement (superbill, i.e. "Statement for Insurance Reimbursement") . There is a confusing array of insurance arrangements. The first thing you should do is check with your insurance carrier. 

DISCLAIMER FOR GOOD FAITH ESTIMATE

Under Section 2799B-6 of the Public Health Service Act, 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 verbally and in writing.  

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. Please email or call me directly with any billing questions or to obtain a Good Faith Estimate for therapy services.

CONFIDENTIALITY

All information disclosed within sessions are confidential and may not be revealed to anyone without (client's) written permission, except where disclosure is required by law. Before therapy begins clients must sign a consent for treatment form. In order for the therapist to talk, exchange, or collaborate with parents, family members, doctors, therapists, schools, etc., the client and therapist must sign a release form.

When Disclosure Is Required By Law: Some of the circumstance where disclosure is required by the law are: reasonable suspicion of child, dependent, or elder abuse or neglect; where a client presents a danger to self, to others, to property, or is gravely disabled. 

MINORS

A minor's parent or legal guardian must sign an informed consent for treatment until the client reaches the age of 18. Minors are protected under confidentiality and have the right to request private information is kept from their parents or legal guardian after the age of 12. However, parents and legal guardians have the right to information regarding their child, and efforts will be made to engage families as partners in services.

LMFT # 93810