Self-Pay Process

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Wright Therapy for Kids is a private pay practice.

 

There are many benefits to the self-pay process: 

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• Insurance requires immediate diagnosis after little evaluation is completed. With self-pay, no diagnosis is required, therefore parents have control over what information goes on the child's permanent medical record. 

• Parents can opt in or out of further mental health evaluations, and skilled practitioners have the time to complete thorough and accurate reports.  

• Parents have control over what patient health information is shared with other providers and schools.

• All patient health information is held in more secure confidence and cannot be released to other medical providers without a signed release. 

• There is more flexibility in the location of sessions, time spent during sessions, types of treatments used during sessions, how many sessions are needed, and who is able to join sessions. Self-pay avoids restrictions of insurance billing-codes and insurance treatment denials. 

Payment is required at the time of treatment. Cash, checks, credit cards, and some HSAs/FSAs are accepted.

 

Out-of-Network Reimbursement

Some families may opt into filing for out-of-network reimbursement through their insurance. All insurance policies are different and Wright Therapy for Kids cannot guarantee how much, or if, your insurance will reimburse. Please call your insurance company to obtain details of your coverage. Wright Therapy for Kids is happy to provide a Superbill to the client in order to aid in the submission of out-of-network reimbursement. Clients are responsible for submitting documentation to the insurance company. Full payment is required at time of treatment.
 

Medicaid and Medicaid Supplemental Plans

Due to being a private-pay practice, I legally am unable to treat children on any Medicaid plans.
Please call your Medicaid provider and they can provide a list of approved mental health providers for your policy.

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Please contact Wright Therapy for Kids if you have any additional questions regarding self-pay and insurance policies. 

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Good Faith Estimate 

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Kathryn Wright 

National Provider Identifier: 1245845221

Tax Identification Number: 84-3568733

Facilities where services are expected to be furnished:

Lutz, FL 34566

or via Teleconference

 

Primary Service: Psychotherapy

Primary Service Description: Play Therapy

Primary Service Schedule: Weekly

Primary Service Estimate for Services: $185 per clinical Hour (clinical hour of 50 minutes)

NOTE:

Research suggests that it takes an average of 20 play therapy sessions to resolve the problems of the typical child referred for treatment (Carmichael, 2006; Landreth, 2002). Actual number of sessions could be more or less than 20, depending on the severity of the issue. You will periodically discuss progress with your therapist, and potential number of remaining sessions.

Weekly sessions are typical.

 

DISCLAIMERS

For partial fulfilment of 45CFR149.610(c)(1):

Separate good faith estimates will be issued to an uninsured (or self-pay) individual upon scheduling or upon request of the listed items or services; notification that for items or services included in this list, information such as diagnosis codes, service codes, expected charges and provider or facility identifiers do not need to be included as that information will be provided in separate good faith estimates upon scheduling or upon request of such items or services; and include instructions for how an uninsured (or self-pay) individual can obtain good faith estimates for such items or services;

Services that the provider anticipates will require separate scheduling AND that are expected to occur before or following the expected period of care for the primary service; if left blank this section is NOT APPLICABLE.

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There may be additional items or services the convening provider or convening facility recommends as part of the course of care that must be scheduled or requested separately and are not reflected in the good faith estimate. The information provided in the good faith estimate is only an estimate regarding items or services reasonably expected to be furnished at the time the good faith estimate is issued to the uninsured (or self-pay) individual and that actual items, services, or charges may differ from the good faith estimate. The uninsured (or self-pay) individual has a right to initiate the patient-provider dispute resolution process if the actual billed charges are substantially in excess of the expected charges included in the good faith estimate, as specified in § 149.620; instructions for where an uninsured (or self-pay) individual can find information about how to initiate the patient-provider dispute resolution process can be found at https://www.hhs.gov/guidance/document/patient-provider-dispute-resolution-ppdr-process-demo-providers-and-facilities 
The initiation of the patient-provider dispute resolution process will not adversely affect the quality of health care services furnished to an uninsured (or self-pay) individual by a provider or facility. The good faith estimate is not a contract and does not require the uninsured (or self-pay) individual to obtain the items or services from any of the providers or facilities identified in the good faith estimate.

 

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