Fees & Policies
“There is no normal life that is free of pain. It’s the very wrestling with our problems that can be the impetus for our growth.” - Fred Rogers
call or text (843) 582-8042
Fees & Policies
Fees
Telehealth Therapy:
Initial Session: $200 (includes assessments)
50 min session $165 /session
Online, through a private HIPAA- compliant platform, we can work on issues such as:
ADHD testing and diagnosis
ADHD therapy
low-self esteem
people-pleasing
rejection sensitivity
perfectionism
overwhelm
Good Faith Estimate
-
Learn more: No Surprises Act
Effective January 1, 2022, a ruling went into effect called the "No Surprises Act" which requires practitioners to provider a "Good Faith Estimate" about out-of-network care. The Good Faith Estimate works to show the cost of items and services that are reasonably expected for your health care needs for an item or service, a diagnosis, and a reason for therapy. The estimate is based on information known at the time the estimate was created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur and will be provided a new "Good Faith Estimate" should this occur. If this happens, federal law allows you to dispute (appeal) the bill if you and your therapist have not previously talked about the change and you have not been given an updated good faith estimate.
Under Section 2799B-6 of the Public Health Service Act (PHSA), health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request, or at the time of scheduling health care items and services to receive a "Good Faith Estimate" of expected charges.
Note: The PHSA and GFE does not currently apply to any clients who are using insurance benefits, including "out of network benefits (i.e.., submitting superbills to insurance for reimbursement).
Timeline requirements: Practitioners are required to provide a good faith estimate of expected charges for a scheduled or requested service, including items or services that are reasonably expected to be provided in conjunction with such scheduled or requested item or service.” That estimate must be provided within specified timeframes:
If the service is scheduled at least three business days before the appointment date, no later than one business day after the date of scheduling;
If the service is scheduled at least 10 business days before the appointment date, no later than three business days after the date of scheduling; or
If the uninsured or self-pay patient requests a good faith estimate (without scheduling the service), no later than three business days after the date of the request. A new good faith estimate must be provided, within the specified timeframes if the patient reschedules the requested item or service.
-
Cancellations
A Shift in Focus maintains a strict 24 hour cancellation policy. No-shows and late cancellations will be charged $50 automatically on the day of the appointment.
Payments
Payment is due when services are rendered.
Payment can be made online at time of service or via autopay on our secure platform.
Insurance
We are in-network with:
Blue Cross/ Blue Shield
Medicare
SC Medicaid
United Behavioral Health
Please check with your insurance company directly to verify your coverage for services.
Copays and coinsurance fees are due at the time of service.
Payment is due the day of service.
Any explanation of benefits that A Shift in Focus receives is only a quote of benefits and actual coverage is determined when the insurance plan receives a claim for processing.
PLEASE NOTE: It is possible that there may be a difference in the copay or coverage once the claim is processed. You shall be responsible for any difference in this amount.
It is your responsibility to notify us if there is a change in your insurance coverage. Failure to notify us of a change in insurance, or if your insurance is denied or cancelled, you will be responsible for the cost of your therapy services at the self-pay rate.
If you have out-of-network coverage, at your request, we will provide you a receipt or “superbill” which you can submit to your insurance provider for reimbursement.
Before submitting to your insurance, please consider the following possibilities:
You also aren't required to get care out-of-network. You can choose a provider or facility in your plan’s network.
To use insurance mental health benefits, a mental health/behavioral health diagnostic code is required.
Insurance companies may require access to your mental health record to reimburse your payment.
Access to your confidential mental records by insurance could impact future employment and health/life insurance premiums, and court/legal issues.
If you pay out of pocket, submitting diagnoses to insurance companies is not necessary.
Insurance companies may not reimburse the full cost of services, so check with your insurance provider first.
You are responsible for completing all required insurance forms for reimbursement.