Fees and Insurance
For your convenience, we accept Health Savings Account (HSA) and Flexible Spending Account (FSA) cards, cash, and major credit cards. Checks are not accepted. Clients may also use HSA or FSA funds to pay for counseling services, including services not covered by insurance.
Insurance
Multiple Insurances are accepted. Please reach out for more information.
Self-Pay
Self-pay sessions are $150 and include up to 50 minutes of counseling. Please contact our office for additional information regarding self-pay services and rates. Sliding scale options may be available for those who qualify.
No Surprises Act
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.
Billing Disclosures – Your Rights and Protections Against Surprise Medical Bills
What is "balance billing" (sometimes called "surprise billing")?
When you see a doctor or other healthcare 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 healthcare 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:
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.
Additionally, Texas law protects patients from surprise medical bills in emergencies and when a patient receives covered medical services from an out-of-network provider at an in-network facility. The law applies to state-regulated insurance plans, including the state employee or the teacher retirement systems. This law does not apply to nonemergency healthcare or medical services when a patient elects in advance and in writing to receive those services from an out-of-network provider and when the out-of-network provider provides the patient with a written disclosure.
Emergency 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 there may be out-of-network. In these cases, the most those 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 balance bill you, unless you give written consent and give up your protections.
You're never required to give up your protections 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.
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.
When balance billing isn't allowed, you also have the following protections:
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.
Your health plan generally must:
The U.S. Centers for Medicare & Medicaid Services (CMS)
at 1-800-MEDICARE (1-800-633-4227) or visit cms.gov/nosurprises for more information about your rights under federal law.
The Texas Department of Insurance Consumer Help Line
at 1-800-252-3439 or visit:
www.tdi.texas.gov/tips/texas-protects-consumers-from-surprise-medical-bills
or
www.tdi.texas.gov/medical-billing/surprise-balance-billing
for more information about your rights under Texas law.
If you believe you've been wrongly billed, you may contact:
You have the right to receive a Good Faith Estimate (GFE) explaining how much your medical care will cost.
Under the law, healthcare providers need to give patients the expected cost of counseling services if you:
Do not have health insurance, or
Choose not to use your health insurance benefits.
A Good Faith Estimate includes the expected cost of non-emergency services provided by Rose Gold Counseling, PLLC.
You have the right to receive a written Good Faith Estimate before services are provided.
You may request a Good Faith Estimate before scheduling services.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill.
Please keep a copy of your Good Faith Estimate for your records.
Make sure your healthcare provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item.
For additional information regarding your rights to a
Good Faith Estimate, visit www.cms.gov/nosurprises
or call 1-800-MEDICARE (1-800-633-4227).