"No Surprises" Act
On January 1, 2022, laws regulating client care were updated to reflect a “No Surprises” act, requiring various provides to provide current and potential clients a Good Faith Estimate (GFE) on the cost of treatment. A summary of this requirement is below.
Effective January 1, 2022, a provider must furnish a self-pay patient with the notice and GFE prior to all scheduled services or by request if the patient is shopping for care (and has not yet made a scheduled appointment). This includes, but is not limited to, office visits, therapy, diagnostic tests, infusions, and surgeries.
You qualify as a self-pay patient if:
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You are an individual who does not have benefits for an item or service under a group health plan, group or individual health insurance coverage offered by a health insurance issuer, federal healthcare program, or a health benefits plan OR
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You choose not to use your coverage benefit for a selected item or service.
Insurance & Rates
Services may be covered in full or in part by your health insurance plan. We accept Alaska Medicaid and Premera BCBS. Your policy may require a referral or prior authorization from your doctor or insurance provider. Please check your insurance coverage carefully by asking questions like:
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Do I have mental health insurance benefits?
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What is my deductible, and has it been met?
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How many sessions per year does my health insurance cover?
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What is the coverage amount per therapy session?
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Is approval required from my primary care physician?
We do not accept Medicare or Tricare.
Payment & Self-Pay
Major credit cards and some insurances are accepted for payment. Co-pay, deductible, and other non-reimbursable costs are billed and due at the time a statement is issued. Self-pay fees are due at the time of the appointment.
SERVICES & FEES
Consultation (Potential Clients) - 15-45 min: $0
Intake & Integrated Assessment (New Clients) - 60-120 minutes: $250
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Integrated Assessment* (Active Clients) - 60-120 minutes: $200
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Individual / Family Psychotherapy (Active Clients) - 45–60-minute session: $175
*Integrated Assessment may be repeated every 6 months if needed to re-assess symptoms and redetermine diagnosis and treatment.
The following are three examples of Good Faith Estimates containing a variety of the services available at Lillac Counseling Services, LLC. Following a completed intake and integrated assessment, active clients will receive a detailed GFE that includes the expected cost of individual services and a total expected cost of services for 1 year.
Example GFE - Intake:
Intake & Integrated Assessment 1x at the start of treatment @ $250.00 = $250.00
No other services recommended or client is referred to a different provider = $0.00
Total Expected Charges for 1 year = $250.00
Example GFE 1:
Intake & Integrated Assessment 1x at the start of treatment @ $250.00 = $250.00
Individual Psychotherapy 1x each week for 52 weeks @ $175 per session = $9100.00
Integrated Assessment 1x each year for 1 year @ $200.00 = $200.00
Total Expected Charges for 1 year = $9550.00
Example GFE 2:
Intake & Integrated Assessment 1x at the start of treatment @ $250.00 = $250.00
Individual Psychotherapy 1x each week for 52 weeks @ $175 per session = $9100.00
Family Psychotherapy 4x each month for 12 months @ $175 per session = $8400.00
Integrated Assessment 1x each year for 1 year @ $200.00 = $200.00
Total Expected Charges for 1 year = $17,950.00
Appointment Policy
Your appointment time is reserved for you. In the event you need to cancel or reschedule, please give at least a 24-hour notice. Cancelations and re-scheduled sessions will be subject to a full charge if not received at least 24 hours in advance. If you are late for a session, you may lose some of that session time.
If you develop a pattern (3 or more times) of rescheduling, canceling, or missing scheduled appointments without notice, I reserve the right to terminate the therapeutic relationship. In that case, I will provide you with a warning ahead of time and provide you with referrals.
Questions
If you have questions about services and fees, call (866) 210-8282 or send an email to info@lillaconline.com.