Nanticoke Counseling Services PC
Berwick Counseling Services
Financial Transparency Policy
Nanticoke Counseling Services PC / Berwick Counseling Services is committed to supplying the most up to date information on patient financial obligations to our clients at the time they receive treatment services.
When our organization obtains information about patient financial obligations, we do so through the insurance company’s website and, when necessary, through a physical conversation with a representative from the insurance company. In most instances, patient financial obligation is discussed with the patient before and/or at the time of their first appointment.
For clients who have an insurance policy that we are not in network with, appears to be poorly defined or has conflicting information, we will make a good faith estimate to anticipate the potential patient financial obligation and convey this before and/or at the time of the first appointment.
There are cases when the information that we initially obtained may be inaccurate. A quote of benefits and/or authorization does not guarantee payment or verify eligibility. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at time of service.
In all cases where inaccurate information was previously discussed with a patient and/or updated information about the policy is discovered after the first claim is processed, our organization will make every effort to convey the correct information to our clients in a prompt fashion. Please note that insurance benefits may change during the contract year. We encourage all our clients to stay up to date with their specific insurance information. Please remember, it is your responsibility to know and understand your insurance benefits.
Good Faith Estimate
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 800-985-3059.