Do you accept insurance?
I am in-network with Highmark Blue Cross/Blue Shield. Plans and coverage vary significantly, and you will need to call BC/BS prior to our first session to verify your benefits and any deductible or co-pay that your plan requires. Deductibles and co-pays are eligible expenses for FSA/HSA cards.
What if you are not in-network with my plan?
What should I ask my insurance company?
- Your coverage for outpatient mental health therapy with me and specifically for telehealth
- The amount of your deductible and co-pay
- Any limitations on the number of visits per calendar year
- Your coverage for an out-of-network provider
- The process for submitting out-of-network claims
I’d like to get started. What are the next steps?
Where is your office located?
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 am required by regulation to ask you to verify your physical location at the start of each session
How do I connect to our telehealth room?
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
How often will we meet?
When will I start feeling better?
How long should I expect to be in therapy?
Basically, this is up to you – 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.
Do you recommend any books?
Yes! Here’s a sampling, and please feel free to let me know what you’re looking for:
- It’s Not Always Depression by Hilary Jacobs Hendel, LCSW
- Loving Like You Mean It: Use the Power of Emotional Mindfulness to Transform Your Relationships by Ron Frederick, Ph.D.
- Anchored: How to Befriend Your Nervous System Using Polyvagal Theory by Deb Dana, LCSW
- Getting Through the Day: Strategies for Adults Hurt as Children by Nancy Napier
- The Whole-Brain Child by Dan Siegel, MD, and Tina Payne Bryson, PhD
What are my rights and protections against surprise medical bills?
Liza Greville, LCSW Psychotherapy
226 Chestnut Street, Kane, PA 16735
(814) 389.8436 email@example.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.
- Cover emergency services without requiring you to get approval for
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.