SELF PAY FEE SCHEDULE

90791 Intake Comprehensive Assessment $250

90834 38-52 min individual session $130

90837 53+ Routine individual session $150-180

*Clients are responsible for the full session fee if less than 24hr notice is given and no claim will be filled on your behalf. This will be invoiced as a missed session fee to be collected immediately to the card on file. The missed session fee is your full session amount. Seeds of Hope Counseling, PLLC unlike many local agencies does not have access to grant monies or additional funding to compensate when a session is missed. Therefore, we are unable to recoup the loss revenue. Additionally it does not give an adequate amount of time to schedule someone else leaving others with a loss of an opportunity for their own treatment. We understand things happen in life and are happy to reschedule upon paid invoice; however for the above reasons we are unable to write off any missed session balances.

Insurance

SOHC is considered In Network with many major medical plans. Please note, if you choose to use your insurance through in network benefits or out of network benefits a diagnosis criteria must be met and given. Even with use of in network benefits there is no guarantee of payment by your insurance company and any balance not paid is the sole responsibility of the client.

In Network

SOHC is considered In Network with many commercial insurance plans to include Aetna, Anthem, BCBS of North Carolina, Evernorth, Healthgram, Optum, Oscar, Harvard Pilgrim, Oxford, and United Healthcare/UBH/UMR. Currently SOHC partners with ALMA for our billing to ensure a smooth billing experience for both our client’s and insurance contracts. ALMA is a national provider who’s goal is to reduce barriers between providers and client’s through providing excellence in the area of insurance/billing such as verifying benefits, filing claims, and collecting payments. *I am not accepting Cigna, Evernorth, or Medcost at this time. I apologize if their directory reflects otherwise.

*Currently we are unable to file claims for any plans under Medicare or Medicaid and are unable to accept referrals/clients at this time. SOHC does not accept Medicaid or Medicare regardless if state or commercial policy.

Out of Network

All clients who are utilizing their Out of Network benefits are charged the full fee up front and may later be reimbursed by their insurance provider. They may request a “Super Bill” receipt of payment to use in seeking reimbursement on their own behalf with their insurance company, Seeds of Hope Counseling does not file out of network claims on behalf of clients.

SOHC does not make any guarantees in regards to insurance reimbursements and or benefits. Client’s are ultimately responsible for all billable services.

Good Faith Estimate

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 800-985-3059.