Under a new Federal law, health care providers need to give clients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services in advance.
This law, called the No Surprises Act, is intended as consumer protection against unexpected/unauthorized hospital bills. However, it is written in such broad language as to potentially include mental health therapists in private practice.
You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service, or at any time during treatment. You may request a list of available therapy services and costs up front, so that you are fully aware of what you will be charge.
If you receive a healthcare bill that is at least $400 more than the prices indicated on your Good Faith Estimate, you can dispute the bill. Rest assured, Sunlight Psychological Services will always be transparent in our costs, and always bill for services same-day to eliminate the possibility of a "surprise bill."
For questions or more information about your right to a Good Faith Estimate, or how to dispute a bill, see your Estimate, or visit www.cms.gov/nosurprises.
Sunlight Psychological Services is not paneled with any commercial health insurance companies.
However, you are encouraged to check your out-of-network benefits, as certain policies allow partial reimbursement for providers who are outside of the insurance network.
SPS will gladly provide a Super Bill each month. This document serves as a receipt, listing the services received and fees paid. Depending on your policy, you may receive partial reimbursement once you submit this document to your insurance.
Diagnostic Codes: Please be aware that a Super Bill requires the usage of an ICD-11 diagnosis code, which would become part of the insurance record.
**Dr. Vaudrey is paneled with Lyra Health, an Employee Assistance Program utilized by many large companies including AmGen, Meta, Google, and Starbucks.