Rates and insurance
BCBS Services
Starting May 9, all services at Audra York Therapy, LLC for Blue Cross Blue Shield will follow my out-of-network fees and be considered an out-of-network provider by all health plans. I will still offer courtesy billing as an ONN provider.
Starting May 9, all services at Audra York Therapy, LLC for Blue Cross Blue Shield will follow my out-of-network fees and be considered an out-of-network provider by all health plans. I will still offer courtesy billing as an ONN provider.
Rates
Please contact Audra for current rates.
*Secondary Insurance not accepted. A statement/superbill can be provided and you may submit if you choose.
Insurance
I accept and bill most insurances, including Violent Crimes Compensation Board (VCCB). I am not a Tricare or Medicaid (DKC) provider and cannot bill either insurance. Services may be covered in full or in part by your health insurance or employee benefit plan, co-pay is due at time of service. Please check your coverage carefully.
*Secondary Insurance not accepted. A statement can be provided and you may submit if you choose
The list below are suggestions to ask your insurance company:
Payment
Your co-pay or deductible amount is due at the time of service. I do not bill a secondary or third insurance.
Cancellation Policy
24-hours notice is required for cancellation of sessions. If you do not show up for your scheduled appointment, and/or you have not notified me at least 24 hours in advance, you will be required to pay the full cost of the treatment as booked. Insurance companies do not pay for missed appointments.
Please contact Audra for current rates.
*Secondary Insurance not accepted. A statement/superbill can be provided and you may submit if you choose.
Insurance
I accept and bill most insurances, including Violent Crimes Compensation Board (VCCB). I am not a Tricare or Medicaid (DKC) provider and cannot bill either insurance. Services may be covered in full or in part by your health insurance or employee benefit plan, co-pay is due at time of service. Please check your coverage carefully.
*Secondary Insurance not accepted. A statement can be provided and you may submit if you choose
The list below are suggestions to ask your insurance company:
- Do I have mental health insurance benefits?
- What is my deductible and has it been met?
- How many sessions per year does my health insurance cover?
- What is the coverage amount per therapy session/ co-pay?
- How much does my plan cover for an out-of-network provider?
- What is the coverage amount per therapy session?
- Is approval required from my primary care physician?
- Are there any limitations to my coverage
Payment
Your co-pay or deductible amount is due at the time of service. I do not bill a secondary or third insurance.
Cancellation Policy
24-hours notice is required for cancellation of sessions. If you do not show up for your scheduled appointment, and/or you have not notified me at least 24 hours in advance, you will be required to pay the full cost of the treatment as booked. Insurance companies do not pay for missed appointments.
Good Faith Estimate
Under the Public Health Service Act and its implementing regulations, health care providers are required to provide a good faith estimate of expected charges for items and services to individuals who are not enrolled in a group or individual health plan or are not seeking to file a claim with their health insurance coverage, or self-pay individuals in writing or verbally. If an estimate is required, one will be provided to you within 3 business days. Information regarding scheduled items and services will be furnished within 1 business day of scheduling an item or service to be provided in at least 3 business days; and within 3 business days of scheduling an item or service to be provided in at least 10 business days.
The Good Faith Estimate (GFE) shows the costs of services that are reasonably expected based on information known at the time the estimate was created and does not include any unknown that may arise due to extenuating circumstances. Although I set the intention to let you know in advance of any additional charges for other services, federal law allows you to appeal outstanding charges to you. There are simply too many variables to offer you a specific cost of treatment; however, every effort will be made to present you with the necessary information to base your decision to initiate, continue and have a successful treatment experience. The GFE once issued is good for 12 months at which point another GFE will be created and reviewed; however, this GFE [separate form included in your file] is not a contract.
Disclaimers: There may be additional services recommended as part of treatment that are not reflected in the GFE initiated at the onset of services. Any billing substantially in excess of the annual estimated amount in the GFE may be resolved in the dispute process; however, this is not applicable as fee for service due at time of service. Any changes in scope pertaining to the GFE must result in a new GFE.