Insurance Participation and Good Faith Estimates
Out of Network Except for TRICARE, Aetna, United, Oscar and Oxford
Alpenglow Mental Wellness is currently an out-of-network provider except for the insurance listed above. If we do not work with an insurance listed, we do provide you what is needed for you to request reimbursement called a Super Bill.
In RE to the "No Surprises Act": If you are a self-pay/cash-pay patient and are not reimbursed by your insurance or are not eligible for reimbursement, we can provide a written document that is clear, understandable and in your language or we can communicate orally that a "good faith estimate" when requested.
Otherwise, a good faith estimate of what to expect can be estimated by the rates above and the frequency for which you choose to be seen. Dr. Burson requires that patients be seen once every three months to stay an active patient and more frequently if symptoms are worsening and/or if there are safety concerns. Additionally, increased frequency can be tailored to the specific benefit of a patient as patients can schedule their own appointments to meet their needs. This estimate of frequency along with the above rates, will help create a good faith estimate of cost for services.
A good faith estimate may not encompass all aspects of treatment that is recommended and is on only an estimate. As a patient, you have the right to initiate a patient-provider dispute resolution process if the actual billed charges substantially exceeds the expected charges including the good faith estimate. Simply contact firstname.lastname@example.org to start this process and this will not adversely affect the quality of health care services provided. The good faith estimate is not a contract and does not require the that a self-pay patient obtain services from this provider.
We can gladly give to you what is referred to as a “superbill” once you have paid for your services if you want to work with your insurance company to try and be reimbursed for your care. If you have: TRICARE, Aetna, United, Oscar or Oxford, your services will be covered. Otherwise, it is variable which insurance companies will reimburse your for your costs.