Therapy Good Faith Estimate

Therapy Good Faith Estimate

By: Jemma Riedel-Johnson

At the YWCA Spokane, we believe that survivors of IPDV have a right to receive quality, evidence based mental health services, regardless of their ability to pay.

We have the opportunity to offer financial assistance and sliding scale fee for services if utilizing insurance isn’t an option for you. The fee’s can be customized to your specific scenario and will depend on your household size, income, expenses and other factors. The following information is only applicable to clients for whom we do not bill insurance.

Why We Provide this Information

You have a right to receive a Good Faith Estimate explaining how much your health care will cost you. Under E2SHB 1688 (Chap. 263, Laws of 2022), No Surprises Act, health care providers need to give clients who don’t have certain types of health care coverage, who are not using certain types of health care coverage or who opt out of using insurance an estimate of their bill for health care items and services before those items or services are provided. 

How the Good Faith Estimate Process Works

Once we have discussed your insurance status, an application process can begin. Once an agreed upon amount has been determined, you will receive a customized Good Faith Estimate form of which you can access at any time in our Theranest Portal. The document you receive will serve as a notification of your estimated expected cost of service. 

Below is a limited list of services and the typical charge for service:

  • CPT 90891 Psychotherapy intake assessment $150.00
  • CPT 90837 60 minute psychotherapy appointment $140.00

Your total cost of services will depend upon the number of therapy sessions you attend, your individual circumstances, and the type of service(s) that are provided to you. This estimate is not a contract and does not obligate you to obtain any services from the provider(s) listed, nor does it include any services rendered to you that are not identified here.

If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.

The YWCA Spokane will expect payment at time of service unless otherwise specified. If you’re unable to pay at time of service, please contact our office for assistance at 509-326-1190.

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