FAQs

  • Finding a therapist whose style, energy, and expertise align with your needs is an important part of the process. I offer a free 20-minute consultation to explore whether we might be a good fit. During this time, I’ll learn more about your goals for therapy, and you’ll have the opportunity to ask any questions about my approach or background. There’s no obligation to move forward.

    If we decide to work together, I’ll provide a link to complete initial paperwork through my secure, HIPAA-compliant client portal before our first session.

    Some types of problems are best supported by other types of care. If that’s true for your situation, I’m happy to offer referrals to trusted providers who may be a better match.

  • That depends on your insurance plan and whether you have out of network benefits. I am not “in network” with any insurance companies, so you are responsible for the cost of sessions up front.

    Most of my clients utilize “out of network” benefits. Depending on your plan, you may be able to receive reimbursement for a portion of your session fee.

    Also, therapy fees are an eligible expenses for Flexible Spending (FSA) or Health Savings accounts (HSA).

    Payment is due at each appointment, and my fee is $150/session.

    I will provide you with a document called a “superbill” after your payment is processed. This is basically a receipt with the specific information your insurance company needs to process out-of-network reimbursement. You will submit this directly to your insurance company and receive reimbursement directly, according to the terms of your specific plan.

    I do have a structure and policy for fee reductions. It works on the honor system, so if you have financial need or your circumstances change, please talk with me. 

  • Details related to any out-of-network benefits and deductibles, etc., are all specific to each insurance plan. If you’re hoping to use your insurance, please contact your insurance to clarify your benefits before scheduling a consultation.

    • Your plan’s coverage for an out-of-network mental health provider 

    • The amount of the deductible under your plan

    • The percentage of the cost of treatment will be your responsibility once the deductible has been met

    • The process for submitting out-of-network claims

    • Any limitations on the number of visits per calendar year

    • Any limitations on telehealth 

  • My physical office is located at 226 Chestnut Street, Kane, PA, and I welcome in-person sessions.

    For sessions via telehealth, I will be in my office on Chestnut Street, and you can be anywhere in Pennsylvania, New York, or Montana (the states where I am licensed).  I’ll ask you to verify your physical location at the start of each session.

  • If you are connecting on a desktop or laptop computer, you will receive a link via email the day before the session. If you are connecting on a mobile device (tablet or phone), you will need to download the free app Telehealth for Simple Practice from the App store.

    The security of your personal information is very important, so I ask that you agree to take reasonable steps to ensure the security of communications.  These involve:

    • Using only secure networks for telehealth sessions (not public wifi)

    • Using have passwords to protect the device you use for tehehealth

    • Participating in therapy sessions in a private room where others cannot overhear

    • Using your own equipment and not equipment owned by another, specifically not using your employer’s equipment or network

  • The length of therapy really depends on the reasons you are coming and what your goals are. We’ll talk about your expectations from the start, and I’ll give you an honest answer about my recommendations.

    I offer depth work that focuses on helping my clients explore and address the root causes of their distress, rather than on short term coping strategies or behavioral changes, so our work tends to be longer term. How long we meet is ultimately up to you.

  • I use the Simple Practice platform which incorporates HIPPA-compliant security protocols to protect the privacy and security of health information, including measures to safeguard the data to ensure its integrity against intentional or unintentional corruption.  Simple Practice safeguards the confidentiality of client information transmitted via electronic channels, including the video office and secure messaging. 

    Email, texting and voicemail are NOT considered secure means of telehealth communication and confidential information should never be communicated through these channels.

  • Liza Greville, LCSW Psychotherapy
    226 Chestnut Street, Kane, PA 16735
    (814) 389.8436 liza@lizagreville.com

    FEDERAL TAX ID: 83-3057790
    GROUP NPI#: 1023576741

    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 betweenwhat 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 isyour 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.

    • Your health plan generally must:

      • Cover emergency services without requiring you to get approval for
        services inadvance (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 anin-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.

    If you believe you’ve been wrongly billed, you may contact:

    • Pennsylvania Insurance Department: 877.881.6388

    • New York Department of State: 800.342.3736

    • Montana Commissioner of Securities & Insurance: 800.332.6148

    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.