FEES & PAYMENT

We accept debt/credit cards (Visa, MasterCard, Discover, and American Express), and HAS (Health Savings Account).

No, we do not accept insurance. We are happy to work with you to provide itemized receipts/superbills for your insurance company for potential partial or full reimbursement for your out-of-network therapy benefits.
We choose not to be an approved provider for any insurance or managed care companies; however, our services are covered under many out-of-network insurance plans. It is your responsibility for checking with your insurance company to see if they will approve us as an out-of-network provider. We can provide you with an invoice/receipt, so that you have documentation to submit to your insurance company for reimbursement. We do not provide session notes, psychotherapy notes, or letters for any insurance company purposes– only superbills/invoices.

Here are some questions that might be helpful when you speak with your insurance company:
1. What are my “out-of-network” outpatient mental health insurance benefits?
2. What is my deductible and have I met it?
3. Is it possible to meet with a provider that I chose and submit receipts for reimbursement?
4. Are there any limitations on how many services a year that will be covered?
5. What is the coverage amount per therapy session?
6. How long will it take to get my reimbursement?
7. Do I need a referral from a primary care physician?

Initial Intake Appointment (60-90 min.) $200- $250

Individual Therapy Session (50 minutes) $150- $250

Individual Therapy Session  (90 minutes) $175-$300

Initial Family Therapy Session (90 mins) $250- $450

Family Therapy Session (60 mins) $200- $300

School Assessment (90 mins) $350  + $100 per each additional 30 mins

Substance Use/Mental health Assessment $400 per hour (minimum of 2 hours)

Appointments canceled /missed with less than 24-hour notice will be charged the full session fee

Phone Sessions (more than 10 minutes)  you will be charged the same hourly rate as sessions (based on length of phone call).

All services that fall under intervention services are NOT billable through insurance. Therefore, Recovery Inside Out, LLC will not provide a superbill for these services. We can provide an invoice for services upon request. We provide a complimentary 30-60 minute First Call for Care Management and Interventions. Fees for interventions are based on family/individual needs and services accessed through Recovery Inside Out, LLC. Fees for Interventions will be discussed during the complimentary First Call. 

Concerned Other/ Parent Consultation $600 (minimum 2 hours)

Care Management $2000-$950 (depending on package)

YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS

(OMB Control Number: 0938-1401)

When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

What is “balance billing” (sometimes called “surprise billing”)?

When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.

“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.

“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care - like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.

You are protected from balance billing for:

Emergency services

If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.

Certain services at an in-network hospital or ambulatory surgical center

When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.

If you get other services at these in-network facilities, out-of-network providers can’t balance bill you unless you give written consent and give up your protections.

You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.

When balance billing isn’t allowed, you also have the following protections:

• You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.

• Your health plan generally must:

o Cover emergency services without requiring you to get approval for services in advance (prior authorization).

o Cover emergency services by out-of-network providers.

o Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.

o Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.

If you believe you’ve been wrongly billed, you may contact The Georgia Secretary of State. https://georgia.gov/contacts/secretary-state-contact or 404-656-2817.

Visit https://www.cms.gov/files/document/model-disclosure-notice-patient-protections-against-surprise-billing-providers-facilities-health.pdf for more information about your rights under Federal law.

Visit https://rules.sos.ga.gov/GAC/120-2-106 for more information about your rights under Georgia’s Surprise Billing Consumer Protection Act.