Meet Ashley

Pebble Beach

Fees and Payment Policies

Rates  Please call to inquire. Rates vary depending on types of services provided.

 

Self-Pay 

We have chosen not to work directly with insurance companies for the following reasons:

  • Insurance companies require us to assign a mental health diagnosis in order to cover the cost of therapy.  Many individuals who seek counseling do not necessarily have a mental health diagnosis. We prefer not to be forced to provide one.

  • Many insurance companies place restrictions on the types of services they cover. For example, many insurance companies do not cover family counseling. 

  • Insurance companies may place restrictions on the course and duration of treatment. This restricts our ability to prescribe the treatment plan we believe will be most beneficial for you.

  • Limited privacy and confidentiality due to increased number of persons handling claims.

 

By choosing to not take insurance, we ensure that you are in control of your care, have increased privacy and confidentiality, and will not carry a mental health diagnosis on your medical record. Furthermore, the course and duration of your treatment will not be determined by a third party.

 

Reimbursement

If you would like to file for insurance reimbursement, reception will provide statements for you to submit. These statements will be typed up and emailed to you upon request. We have found that some insurance companies reimburse as much as

50-100% of out-of-network services.  Please check your coverage for out-of-network mental health services by asking your insurance company the following questions:

 

  • Do I have mental health insurance benefits?

  • What is my deductible and has it been met?

  • How many sessions per year does my health insurance cover?

  • What is the coverage amount per therapy session?

  • Do I need a referral from my primary care physician?

 

Payment 

Payment is due on the day of each session.
A credit card will be kept on file that will be automatically charged the day of your session.

 

Cancellation Policy

We completely understand there may be instances that cause my clients to have to cancel their appointments. If you need to cancel an appointment, please notify us 24 hours prior to your therapy session in order to avoid being charged for the missed appointment. This can be done by directly calling the office at 609-525-4517. If the session is canceled less than 24 hours prior to your appointment time or you miss your appointment without notice, you will be charged in full for the missed session. 

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.  This includes related costs like medical tests, prescription drugs, equipment, and hospital fees. Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. If you receive a bill that is at least $400.00 more than your Good Faith Estimate and the pricing provided to you, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.  For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059.

Contact Us

Schedule today!

(609) 525-4517

Reception@CounselingByTheSeaNJ.com

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