RATES AND INSURANCE 

I am an in-network provider for Blue Cross Blue Shield PPO, Blue Cross BlueChoice PPO, Aetna, BCBS HMO-NorthShore 447, and ComPsych EAP program.

I also provide mental health services to clients with out-of-network insurances or self-pay. Documentation can be provided to clients should they wish to submit for reimbursement by their insurance carrier.

Rates are consistent with reasonable and customary rates and are available upon request. Payment Plans may be available on an individual basis.

Mental health services may be covered in full or in part by your health insurance plan. Ultimately, it is your responsibility as the primary insured to make payment for the client portion of all rendered services.
I am happy to assist you in the process of obtaining information regarding your insurance coverage. Should you wish to do so, some important questions to ask include: 

  • Do I have mental health benefits?
  • What is my deductible and has it been met?
  • How many sessions per calendar year does my plan cover?
  • How much does my plan cover for an out-of-network provider?
  • What is the coverage amount per therapy session?
  • Is approval required from my primary care physician?


CANCELLATIONS 
Appointments are times set especially for you. Thus, it is important to notify me as soon as possible if you will not be able to attend, so that we may make our best efforts to reschedule. Missed appointments or cancellations (with less than 24 hours advanced notice) are subject to fees up to the full cost of that scheduled appointment. Insurance carriers do not cover the cost of such missed appointments.


GOOD FAITH ESTIMATE NOTICE (Link to Notice below)
OMB Control Number: 0938-1401
Expiration Date: 3/31/2022
The No Surprises Act, effective 1/1/2022, requires providers to inform their uninsured and private pay patients that they have a right to a "Good Faith Estimate" to help them estimate the expected charges they may be billed.
  • 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 do not have insurance or who are not using insurance an estimate of the bill for medical items and service, including psychotherapy services.
  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like psychotherapy services, medical tests, prescription drugs, equipment, and hospital fees.
  • You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item.
  • 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 1-877-696-6775.
YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS (link to notice below)
OMB Control Number: 0938-1401
Expiration Date: 3/31/2022
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.


For more information or to schedule an appointment, please contact me at (773) 259-4112 or drcarolyn@carolynbarsano.com



 

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