GOOD FAITH ESTIMATE NOTICE
To our uninsured and Private Pay clients:
Starting January 2022 under the new law, if you do not have insurance or not using your insurance, you have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.
You have the right to ask and receive Good Faith Estimate of the total expected cost of any non-emergency healthcare services, including psychotherapy services.
You can ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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 more information visit www.cms.gov/nosurprises.
Sequoia Counseling works on a fee for service basis. Sliding fee scale is available. Most insurance is accepted, however not all practitioners accept insurance, and what insurance is accepted varies according to each practitioner
Some managed care and insurance companies served include:
AETNA-EAP PPO HMO
Anthem Blue Cross
Blue Cross-Blue Shield PPO
Blue Shield of California PPO
CIGNA
Concern EAP
Health Net
MHN
Magellan
United Behaviorial Health-Blue Shield
Pacific Care EAP
Value Options
VMC EAP
WORKERS' COMPENSATION
UBH
TRI-CARE
This is not an inclusive list. When calling, please ask about your particular Insurance or Managed Care program.
We will assist you in finding out if we are part of your plan.
For more information or a first time appointment phone: 650-503-4357 or email us.
© 2015 by Sequoia Counseling Services
