Insurance and Payments

Insurance and Payments

Bonilla Psychotherapy is a participating provider with the following insurance plans:

  • Aetna

  • Blue Cross Blue Shield and Blue Choice PPO

  • Lyra

  • United Healthcare

We will submit claims from your session for you. Prior to your first session, we will check your mental health benefits, provided we receive your insurance information 24 hours in advance of your first session. We always recommend that you contact your insurance carrier directly to verify mental health and telehealth coverage and that your plan is in network with this practice.  You may be responsible for a co-payment, co-insurance, or payment towards your deductible each session.

If you are self-pay or have out-of-network insurance you will be responsible for full payment at the time of service. We are happy to provide you with a superbill that you can submit to your insurance for potential reimbursement towards your out-of-network benefits.  You also have the right to receive a Good Faith Estimate to determine what your care will cost before starting treatment.

Good Faith Estimate

Good Faith Estimate

Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.

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. If you are billed for more than this Good Faith Estimate, you have the right to dispute the bill.

Disclaimer

The Good Faith Estimate works to show you the cost of items and services that are reasonably expected for your health care needs for an item or service, a diagnosis, or a reason for therapy. The estimate is based on information known at the time the estimate was created. You could be charged more if complications or special circumstances occur. If you are billed more than this Good Faith Estimate, federal law allows you to negotiate the bill, or as if there is financial assistance available.

The Good Faith Estimate is not a contract between provider and client and does not obligate or require the client to obtain any of the listed services from the provider.

You may dispute charges with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.

There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.

To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call HHS at (800) 985-3059.

For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call (800) 985-3059.

Keep a copy of this Good Faith Estimate in a safe place or take pictures of it. You may need it if you are billed a higher amount.