Have questions? The Well Woman understands the idea of talking to someone new can bring about many questions, fears, or uncertainty. We hope that the frequently asked questions below are helpful. If your question isn’t answered here, give us a call at 404-618-1040.

Do you accept insurance?

Yes, we currently accept Aetna, Ambetter, Anthem/Blue Cross Blue Shield, Cigna, Humana, Magellan, Multiplan, and Optum/United Healthcare.

Do you accept Out of Network referrals?

Yes, we can provide a super-bill or invoice (explanation of services billed) to you and you can submit this to your insurance company for Out of Network benefits. The full fee amount is due at the time of service.

Can I pay out of pocket for services?

Absolutely, the full amount of the session is due at the time of service.

How much are sessions out of pocket?

Initial Assessment $180/60 minute session

Individual Therapy $150/50 minute session

Family Therapy $165/50 minute session

Couples Counseling $210/80 minute session, $300/2-hr session *Call our office to inquire about rates for Mini Marathon and Retainer Sessions

How long is each session?

With the exception of couples counseling, each session is 50 minutes. The initial session can be longer.

How long will I need therapy?

There is no definitive answer to this question as it depends on the need of the client and how severe they present. After the initial session, the therapist will recommend the duration and frequency of treatment for you to discuss.

How often will I have sessions?

In most cases, weekly sessions are recommended at the beginning of treatment to ensure proper assessment of the issue and to develop a therapeutic relationship. As progress occurs sessions may decrease to biweekly or less frequent.

What forms of payment do you accept?

We accept cash, HSA, and credit/debit card.

Do you have a cancellation policy?

Yes, we require a 24 business hour notice if you need to cancel or reschedule. The full amount of your session will be charged for all appointments canceled without a 24 business hour notice. At the time of scheduling an initial/new client appointment, we require a credit/debit card to secure the appointment. A 24 business hour notice is also required if a new client appointment needs to be canceled.

Is therapy confidential?

Yes, however there are a few exceptions:

​If using your insurance, the insurance company is authorized to receive your records.

If there is suspicion of child abuse or neglect, this must be reported to the Department of Family and Children Services.

If elder abuse is suspected, this must be reported to Adult Protective Services.

In Georgia, there is a duty to protect our clients and citizens. If a client is a safety threat to themselves or others, then confidentiality can be broken to ensure the safety of all.

What if I have a crisis or emergency?

We are not immediately accessible outside of appointment times. If you experience an emergency, please call the Georgia Crisis and Access Line at 1-800-715-4225 or 911, or visit your nearest Emergency Room so that you can get the immediate care and attention you need. If you do access emergency services, please contact and update us on your status.

Do I have to have a diagnosis to use my insurance?

Yes, insurance requires services be provided based on medical necessity which involves a diagnosable condition.

Will my insurance pay for couples counseling?

Insurance will pay for services based on medical necessity. They will not pay for couples counseling that only addresses relationship issues. There would have to be an identified client within the couple with a diagnosable condition. The couple could then receive counseling, but the focus of the treatment would have to address the identified client’s issues. Because of these limits, The Well Woman only provides couples counseling at the out of pocket (self-pay) rate.

Will my insurance pay for family counseling?

Yes, as long as there is an identified client with a diagnosable condition and it is medically necessary that they receive treatment. The family counseling sessions, however, must address the identified client’s issues using the family therapy treatment model.

How does the No Surprises Act apply to me?

Starting on January 1, 2022, the No Surprises Act (NSA) protects uninsured (or self-pay) individuals from many unexpectedly high medical bills. The Act requires that health care providers and facilities give uninsured (or self-pay) individuals an estimate for the cost of their health care before the individual agrees to get the item or service. (cms.gov)

 

Good Faith Estimates for Uninsured (or Self-Pay) Individuals

 

You are generally considered an uninsured or self-pay individual if you do not have health insurance, or do not plan to use your insurance to pay for a medical item or service. If you are an uninsured or self-pay individual, a provider or facility must give you a “good faith estimate” detailing what you may be charged before you receive the item or service.

The good faith estimate will include:

 

  • A list of items and services that the scheduling provider or facility reasonably expects to provide you for that period of care.
  • Beginning in 2023, a list of items and services and their associated costs, that can be reasonably expected to be given to you by another provider or facility involved in your care (a co-provider or co-facility). For example, a doctor probably expects that along with an individual’s knee replacement surgery, the patient will also be given anesthesia. Both of these items and services should be included in your good faith estimate, and starting in 2023, the anesthesia items and services will have to be included.
  • Applicable diagnosis codes and service codes.
    *We cannot provide a diagnosis prior to initiating services. We must assess each individual to provide a diagnosis.
  • Expected charges or costs associated with each item or service from each provider and facility.
    *We cannot determine how frequent or how long an individual will need to be seen without assessment.
  • A notification that if the billed charges are higher than the good faith estimate, you can ask your provider or facility to update the bill to match the good faith estimate, ask to negotiate the bill, or ask if there is financial assistance available.
  • Information on how to dispute your bill if it is at least $400 higher for any provider or facility than the good faith estimate you received from that provider or facility. If you get a bill that is at least $400 more for any provider of facility than the total expected charges for that provider or facility on the good faith estimate, there is a new patient-provider dispute resolution (PPDR) process available to you. Under the PPDR process, you may request a payment review and decision from an independent company certified by HHS. These companies are referred to as Selected Dispute Resolution (SDR) entities. The SDR entity will decide what amount you must pay if your bill is at least $400 more for any provider or facility than your good faith estimate from that provider or facility.

 

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