Fees and Insurance

Fees

Please, contact me to inquire about my fees.

My practice is in-network for First Choice Health and Medicare, and out-of-network for all other insurances.

If you have First Choice Health or Medicare, we will bill them directly. You will be responsible for deductible and co-pays.

For all other insurances, we don't bill them directly, which means payment in full is due at the time of service. However, most of my patients get reimbursed by their insurance. In many cases the difference between my fees and what your insurance may pay you back is equivalent to what your co-pay would be.

Payment is due at the time of service, by credit, debit, or HSA card.

How to Get Reimbursed by your Insurance

Contact your insurance and ask:

  • "What are my out-of-network benefits?"

  • "How much is my deductible?"

  • "After I meet my deductible, how much will I be reimbursed for each visit?"

(your insurance needs the codes below to answer that)

        • Intakes: CPT code 99205-95 + 90838

        • Follow-up: CPT code 99214 -95 + 90833-95

  • "Do I have a limit of how many visits I can have?"

  • "How do I submit the receipt my doctor gave me to get reimbursed?" (This is also called a "superbill".)

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.

  • Your health care provider will give you a Good Faith Estimate in writing at least 1 business day before your medical service. 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.

© 2017 - 2022, Niels Nielsen, MD