Playful Therapy Connections is out of network with all insurance companies.
We believe that our clients and their caregivers should be the people making decisions about the course of mental wellness treatment. We also value our client’s right to privacy and confidentiality in our work together. Treatment should not be dictated by a managed care company, whose staff do not know you or your child.
Clients should be able to see their therapist and decide whether or not they want a diagnosis (a diagnosis is required for insurance reimbursement), how many sessions they want to utilize, (managed care companies may cut off payment for services they no longer deem necessary), and who they want to have access to their confidential therapy notes.
As an insurance-friendly practice, PTC is able to provide clients with all of the information and documentation needed to submit directly to your insurance company for reimbursement. All fees are due to PTC at the time of service and your insurance company will send reimbursement to you.
To make it easy to access your Out of Network benefits, we’ve created a cheat sheet with all of the questions and codes you need to contact your insurance company.
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 more than your Good Faith Estimate, 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 1-800-985-3059.