Out-of-Network Benefits
Campsen Wellness is an out-of-network provider. We do not panel with insurance providers because being in-network often limits the type, length, and frequency of services we are able to provide. By remaining out-of-network, we are able to focus fully on your needs, protect privacy more thoroughly, and tailor treatment without administrative restrictions imposed by some insurance requirements.
We are able to provide a special type of receipt called superbill statements that can be submitted to your insurance provider for potential reimbursement and/or towards your annual deductible. Campsen Wellness does not guarantee any reimbursement or benefits through your insurance provider. We recommend contacting your insurance provider regarding out-of-network benefits.
To see if you are eligible for reimbursement from your insurance provider for the cost of therapy, call the number on the back of your insurance card and ask the following questions:
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Does my plan include “out-of-network” coverage for mental health?
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Is there an annual deductible for out-of-network mental health benefits?
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If so, how much?
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Is there a limit on the number of sessions my plan will cover per year?
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If yes, How many?
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Is there a limit on out-of-pocket expenses per year?
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What is my co-insurance percentage for mental health services?
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Does my plan require pre-authorization for outpatient mental health services?
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What is the policy year (i.e. Jan 1 – Dec 31)?
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Does my plan require a referral for outpatient mental health services?
What forms of payment do you accept?
I accept credit/debit card or health savings account. Payment is automatically billed through our client portal.
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What is your cancellation policy?
Since an appointment reserves time specifically for you, 24-hour notice is required for rescheduling or canceling of a session. Outside of an agreed upon emergency or accident, you will be charged the full service fee for no show or late cancellation. If you are late, I will meet for whatever amount of your time remains; however, you will be charged for the full session.
Do you offer reduced rate or sliding scale?
Campsen offers a limited number of reduced rate and sliding scale slots for clients. If you think you may qualify, please schedule a free 15-minute consultation. ​
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No Surprises Act & Good Faith Estimate
Under the No Surprises Act, health care providers need to give clients who do not have insurance or who are not using insurance an estimate of the bill for medical services.
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A "Good Faith Estimate" shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created.
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You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.
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The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute the bill.
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If you receive a bill that is >$400 more than your Good Faith Estimate, you can dispute the bill.
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You may contact the health care provider or facility to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to
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update the bill to match the Good Faith Estimate,
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ask to negotiate the bill,
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or ask if there is financial assistance available.
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You may also start a dispute resolution process 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 of the date on the original bill.
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Make sure your health care provider gives you a Good Faith Estimate within the following timeframes:
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If the service is scheduled at least three business days before the appointment date, no later than one business day after the date of scheduling;
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If the service is scheduled at least 10 business days before the appointment date, no later than three business days after the date of scheduling; or
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If the uninsured or self-pay patient requests a good faith estimate (without scheduling the service), no later than three business days after the date of the request. A new good faith estimate must be provided, within the specified time frames if the patient reschedules the requested item or service.
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The No Surprises Act has a universal waiver form required that will be part of your intake paperwork with Campsen Wellness.
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Note: A Good Faith Estimate is for your awareness only. It does NOT involve you needing to make any type of commitment.
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If you have questions or concerns, please reach out, a Good Faith Estimate will be provided along with standard intake forms.
