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Sandy Beach

FEES

INSURANCE
 

  • Dr. Bemis is in-network (INN) with the following insurance companies: Aetna, Blue Cross Blue Shield, Horizon Blue Cross.

  • Dr. Bemis is currently in the credentialing process to accept Oxford and United Healthcare (Optum).​​​​

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  • If a therapist is out of network or does not accept insurance, you can check with your insurance company to see if they offer partial service reimbursement. If they do, Dr. Bemis can prepare a monthly superbill that lists your attended sessions and payments. You can submit this superbill to your insurance company, and they may reimburse you based on your coverage. Request information from your insurance company about coverage for an out-of-network provider who offers outpatient psychotherapy. Inquire whether you have an out-of-network deductible and, if so, how much has been met or what the remaining amount you would need to pay before your insurance can reimburse you for any out-of-pocket expenses.

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  • You are responsible for submitting the superbill and any paperwork required by your insurance company. Before starting treatment, contact your insurance company to find out what reimbursement options or rates they offer and what the process entails.

SESSION RATES
 

  • For clients out-of-network (OON) or paying out-of-pocket, the intake session usually lasts 90 minutes and costs $300.00. Its purpose is to collect a comprehensive overview of your presenting concerns and background history. The information you provide will assist Dr. Bemis in developing an appropriate treatment plan with you. During the intake, we will also discuss the structure and expectations of therapy.
     

  • Individual therapy sessions are generally between 45 and 50 minutes long and are priced at $250.00 per session.
     

  • Group therapy sessions typically last 45 minutes and cost $150.00 each.
     

  • There are limited slots for sliding-scale appointments available to clients who cannot afford the full rate, evaluated on a case-by-case basis. To qualify, you must submit two recent income stubs and details of your expenses to determine eligibility. This information will be used to calculate your reduced rate if you qualify.

PAYMENTS
 

  • Payment is due at the end of each session.

  • Clients are required to keep an active credit card on file to reserve an appointment time.

  • Dr. Bemis accepts payment through Zelle, Venmo, and credit or debit cards.

GOOD FAITH ESTIMATE
 

Under Section 2799B-6 of the Public Health Service Act, you have the right to receive a “Good Faith Estimate” explaining how much your mental health care will cost. â€‹

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  • Under the law, healthcare providers are required to provide a Good Faith Estimate of expected charges to individuals who do not have health insurance or do not plan to use their insurance for services. ​You are entitled to receive a Good Faith Estimate upon your request, or when you schedule healthcare services.

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  • Your Good Faith Estimate covers the costs of any non-emergency items or services, including psychotherapy. Your estimate will be reviewed with you annually and adjusted as necessary.​

 

  • Your Good Faith Estimate is based on the information known at the time of the estimate and does not include any unknown or unexpected costs that may come up during treatment. The actual services or charges may differ from the estimate.​

 

  • If you are billed at least $400 more than your Good Faith Estimate, you are legally allowed to dispute (appeal) the bill. You can do this by contacting your healthcare provider or starting a dispute resolution process with the U.S. Department of Health and Human Services.

 

  • There is a $25 fee to use the dispute process, and doing so will not negatively affect the quality of healthcare services offered.

 

  • ​Learn more about the Good Faith Estimate and dispute process, visit www.cms.gov/nosurprises or call CMS at 1-800-985-3059.

 

  • ​Make sure to take a picture or save a copy of your estimate in a safe place.

 

  • Disclaimer: The Good Faith Estimate outlines the costs that are reasonably expected for the anticipated services for addressing your mental health care needs.

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