No Surprises Act
The Federal No Surprises Act aims to increase price transparency and reduce the likelihood that clients receive a “surprise” medical bill by requiring that providers inform clients of an expected charge for a service before the service is provided.
Starting January 1, 2022, behavioral health care providers will be required by law to give uninsured and self-pay clients a good faith estimate of costs for services when the client requests an estimate.
Glenview Counseling Group has always discussed pricing with new clients prior to scheduling their first appointments and will continue to do so. However, if you would like a formal Good Faith Estimate (GFE), please know that you can ask for one and that the law requires that this GFE will become part of your medical record.
You can learn more about the No Surprises Act here: https://www.cms.gov/nosurprises
Good Faith Estimate
You are entitled at any time to request Good Faith Estimate (GFE) for any procedure here at GCG. Here are a few things to help you navigate this request:
- Only those who are paying for services out of pocket AND are not planning to submit to insurance are eligible at this time to request a GFE.
- You may request a GFE prior to the first session, between sessions or at any time during your care.
- Your GFE will have a diagnosis attached. If you have not yet been seen by one of our counselors when you make your request a provisional diagnosis will be determined.
- You may request that the GFE be delivered to you in written or electronic form.
- When requesting the GFE, please ask your counselor directly.
- Your GFE will become part of your electronic medical record.
Below please find our out-of-pocket fees and procedure codes to match. These fees apply to anyone who is not using insurance at our practice or anyone who is not eligible for a sliding scale fee schedule. If you have any questions about the meaning of any of these procedure codes please don't hesitate to ask your counselor, or you may reach out to Julia Hampton at (847) 699-2490 x0.
Most Common Procedure Codes and Prices
The following six procedure codes account for over 95% of the codes that we bill at our practice. Please review them and let us know if you have any questions at all regarding any part of the following codes.
Least Common Procedure Codes and Prices
The following procedure codes and definitions account for less than 5% of the codes that we bill at our practice. Please review them and let us know if you have any questions at all regarding any part of the following codes.
Missed Appointment Fee: The fee for a missed appointment is $165 except in the case of a scheduled half hour session, when the fee is $120.
Late to Session Fee: When a client is late to session we are unable to bill insurance for time not spent "face-to-face." While the occasional lateness may be understandable, chronic tardiness causes our counselors to spend time waiting for clients to arrive without being able to be reimbursed for that time. For clients who are chronically later than 10 minutes to session there is a fee of $50 per tardiness.
Travel Fee: These are used when we are occasionally asked to travel to a meeting outside of the office or to facilitate counseling in another setting, when appropriate. The charge for travel is $165 per hour prorated in 15 minute increments.
Court- or Legal-Related Charges: $400 per hour for any services that our counselors are asked to perform that are in service of legal proceedings (eg: custody disputes, mental fitness evaluations, etc.).