everything
you need to know.

At Roots Therapy we have a 48 hour cancellation policy. Your time is valuable to us, and your appointment slot is reserved especially for you. You will receive a notification 48 hours before your appointment, if you need to cancel for any reason please let us know before 48 hours. Otherwise a late cancellation fee will be charged. You can also reschedule through your client portal.

Our fees vary depending on education level and licensure/certification of your therapist. If finances are a concern for you, we can work on a sliding scale based on your income level. Generally our sessions range from $125-$180 a session.

Occasionally, an HSA card with the MasterCard or VISA logo will be approved through our credit card merchant, but we have found a lot of inconsistency with how the individual HSA companies authorize (or don’t authorize) mental health services. We will certainly attempt to run your HSA card, but if declined, we encourage you to reach out to your HSA company to either ask them to allow our charges or submit the paid receipts back to them for direct reimbursement to you.

We are an out of network provider, therefore we are not able to accept insurance. However, we are able to provide a receipt for you to file with your insurance company for potential reimbursement. Most of our clients get reimbursed from their insurance providers at an out of network rate. This will depend on your specific policy. We can work with you to help determine what will work best for you.

A superbill is a monthly statement for insurance purposes that shows a list of services you received from your out-of-network provider. It’s a detailed invoice or receipt. You may submit a Superbill to your insurance to receive reimbursement.

For more information, contact info@rootstherapy.com

*Applies to all providers at Roots Therapy

YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS:

When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

What is “balance billing” (sometimes called “surprise billing”)?

When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.

“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.

“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care - like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.

You are protected from balance billing for:

Emergency services: If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.

Certain services at an in-network hospital or ambulatory surgical center: When you get services from an in-network hospital or ambulatory surgical center, certain providers may be out-of-network. In these cases, the most that providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.

If you get other services at these in-network facilities, out-of-network providers can't bill you unless you give written consent and give up your protections.

You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.

When balance billing isn’t allowed, you also have the following protections:

You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.

Your health plan generally must:

• Cover emergency services without requiring you to get approval for services in advance (prior authorization).

• Cover emergency services by out-of-network providers.

• Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.

• Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.

If you believe you’ve been wrongly billed, you may contact the Secretary of State’s office at 404-656-2881.

Visit this link for more information about your rights under Federal law.