SELF PAY PROCESS:
Hope Floats Child Therapy is a private pay practice. If your insurance plan includes out-of-network coverage, your therapist can provide documentation for reimbursement of session fees. Full payment is required at the time of treatment and then you will submit the documentation to your insurance company. Your insurance provider will reimburse you directly. Please call your insurance company to confirm your out-of-network percentage of reimbursement before scheduling the free consultation.
NO SURPRISE ACT NOTICE:
YOUR RIGHT TO A “GOOD FAITH ESTIMATE”
You have the right to receive a ‘Good Faith Estimate’ explaining how much your medical care may cost.
Under the law, healthcare providers must give patients who do not have insurance or are not using insurance a cost 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 costs related to medical tests, drugs, equipment, and hospital fees.
Your healthcare provider must give you a ‘Good Faith Estimate’ in writing for scheduled services within designated timeframes. You can also ask your healthcare provider 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 1-800-MEDICARE (1-800-633-4227).

