FORMS & FEES

"It is rather easy to shine in the light but to glow in the dark...that's mastery!

- Rick Beneteau

FEES

My practice is fee for service. This means I do not accept insurance, welfare payments, and I do not provide Medicaid or Medicare services. Payment is expected at the time of service unless other arrangements have been made. I accept cash, check, and major credit cards as forms of payment. My fee is $150 per 50 minutes session, and $190 per 75 minute session. My group fee is $35 per session. Extended session time and phone consultation as requested by the client are prorated and billed in 15-minute increments.

I also have a limited number of sessions that offer at a scholarship rate. These sessions are based on availability and offered to clients committed to their therapeutic process.

You have the right to receive a “Good Faith Estimate” explaining how much your medical 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 bill for medical items and services.

You have the right to receive a “Good Faith Estimate” explaining how much your medical 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 bill for medical items and 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 medical tests, prescription drugs, equipment, and hospital fees.
•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.You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or 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 or call the Colorado Division of Insurance at 303-894-7490 or 1-800-930-3745.

FORMS

Forms are sent electronically to clients prior to our first session. Please inform me if you are unable to receive email.