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No Surprises Act

Hina Ansari LPCC
The Healing Light Therapy LLC
34194 Aurora Road, #240
Solon, Ohio, 44139
License: E:2202965 Ohio
EIN: 871778320
NPI 2: 1144996505

The Good Faith Estimate

Effective January 1, 2022, laws regulating client care have been updated to include the “No Surprises” act, which requires a wide variety of providers to give current and potential future clients a “Good Faith Estimate” (GFE) on the cost of treatment. Below you will find a summary of this requirement. Please review and sign this document and please keep it for reference.

Effective January 1, 2022, a provider must furnish a self-pay patient with the notice and GFE prior to all scheduled services or by request if the patient is shopping for care (and not yet at the point of scheduling). This includes, but is not limited to, office visits, therapy, diagnostic tests, infusions, and surgeries.

Who qualifies as a self-pay patient?

A provider’s duty to provide notice and a GFE applies to self-pay patients, i.e., an individual who (1) does not have benefits for an item or service under a group health plan, group or individual health insurance coverage offered by a health insurance issuer, federal healthcare program, or a health benefits plan; or (2) chooses not to use his or her coverage benefit for the item or service.

In many ways, this regulation protects patients from discovering, after they receive care, that they owe a massive medical bill for un-covered services. This makes sense from a medical point of view – we have all heard the horror stories of a patient going bankrupt after discovering their insurance doesn’t cover some services or providers. For example, if an out-of-network provider gives post-surgical care at an in-network hospital, the patient could end up with a big out-of-pocket expense that comes as a complete surprise.

However, therapy is a little different in that we can’t necessarily provide an estimate of how long it takes to treat a relationship issue, address anxiety, make a plan for parenting, focus on and minimize depression, etc. There are a number of variables that make it nearly impossible to quantify what will be needed. And there is no way to give a “good faith estimate” on whether or not a client will want to return for a “tune-up”

I have made several attempts to get clarification on how this affects therapists and therapy clients and been unsuccessful. In an abundance of caution and in keeping with my policies of general transparency, I am posting this notice.

Good Faith Estimate Details

Below reflects current session fees, projected over variable levels of use for any 12-month period. Established clients have already completed their intake appointments and can disregard the fee for that service. New clients are required to begin with a 60-minute intake appointment.

Individual Client: Good Faith Estimate

Effective Jan 1^st, 2023, self-pay rate are going to change to $120 for 90834.
Intake Assessment appointment 90791= $200
Follow up session 90834 (45 min) sessions $120
Follow up session 90837 (53mins or more) =$160

Intake assessments are performed once a year.
Follow up session 90832 (16-30 mins): $85
Treatment planning every 3 months: No additional cost.
Yearly cost estimates 50 weeks in a year 50 sessions 90837 53 mins= $160×50= $8000
Biweekly 90837 (53 mins) 25 sessions 25 x $160= $4000
Yearly cost for 50 weekly, 90834 (45 mins sessions) = $120×50=$6000
Biweekly 45 mins 90834 cost $120×25=$3000
Cost for sessions weekly (45 mins 90834) for three months $120×12=$1440
Biweekly cost for 90834 three months (45 mins) $120×6=$720
Estimated cost of weekly therapy for 3 months 90832 (30 minutes) 85×12=$1020
Estimated cost of Biweekly session 90832 for a year. 25x$85=$2125
Estimated cost for weekly sessions 90832 for a full year $85×50=$4250
Please acknowledge receipt and review and sign this notice.

These figures are based on estimates the frequency with which clients are seen, and the duration of time in which they are seen, is dependent on client needs. The above examples are for illustrative purposes only and are not specific to you or your treatment. Instead, they are meant to show the variation of cost over the course of the year. If you have any additional questions, please do not hesitate to call us at 440-252-2684, 216-490-4960, clients will be provided a three months’ notice prior to rate changes; if you have any addition questions about session costs and length on cash pay basis please do not hesitate to text or email or call.

My Email is: hina@thehealinglighttherapy.com

These figures are based on estimates the frequency with which clients are seen, and the duration of time in which they are seen, is dependent on client needs. The above examples are for illustrative purposes only and are not specific to you or your treatment. Instead, they are meant to show the variation of cost over the course of the year. If you have any additional questions, please do not hesitate to call us at 440-201-4258, clients will be provided a three months’ notice prior to rate changes; if you have any addition questions about session costs and length on cash pay basis please do not hesitate to text or email or call.