Insurance and Good Faith Estimate Notice
Using Your Insurance at Our Practice
We understand that navigating the use of health insurance can be challenging. CSAM does not accept insurance directly. You will not be able to use insurance if you have an HMO, Medicare, or Medi-Cal plan. If you have a PPO insurance plan, CSAM is considered an out-of-network provider. PPO plans typically reimburse around 50-80% for out-of-network care, after you meet your deductible.
To learn more about your coverage we recommend you:
Contact your insurance company to ask about out-of-network mental health benefits
Find out your deductible amount and coinsurance percentage for out-of-network providers
If you choose to use your PPO insurance:
You will pay the full session fee upfront at the time of service
Your clinician will provide a monthly statement to submit to your insurance company
You will be responsible for submitting claims and tracking reimbursement
We're happy to answer questions, but cannot guarantee reimbursement amounts, as policies vary.
Your Right to a Good Faith Estimate
Under federal law, you have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.
You can ask any healthcare provider for a Good Faith Estimate before scheduling non-emergency services. This includes the estimated cost of an initial evaluation, therapy sessions, and other services we offer.
If you receive a medical bill that is at least $400 higher than your Good Faith Estimate, you can dispute the charges. Please save a copy of your Good Faith Estimate for reference.
For questions about your right to a cost estimate, visit www.cms.gov/nosurprises or call (800) 985-3059. We're committed to providing transparent estimates so you can make informed decisions.