Online therapy available in Indiana & New York | In-person therapy at 921 E. 86th St., Suite 206, Indianapolis IN 46240
FREQUENTLY ASKED QUESTIONS
No Surprises Act:
In compliance with the No Surprises Act that went into effect January 1, 2022 and IC 25-1-9.8-11, we provide our clients who request nonemergency mental health therapy services a "Good Faith Estimate." The estimate is provided at the time of your intake. The estimate may vary based on your actual needs. Until we do an initial evaluation and we start to work together, we will not have a clear picture of your specific diagnosis, issues and needs. We typically see therapy patients for a specified range of sessions. But cases may be more complicated, so we may need additional sessions during the time covered by this estimate.
Notification regarding Good Faith Estimates: A patient may request an estimate of the amount the patient will be charged for nonemergency mental health therapy services provided in our office. The law requires that an estimate be provided within 2 business days of scheduling the services unless the services are scheduled to be performed by the practitioner within 2 business days of the date of the patient's request.
The Good Faith Estimate shows the costs of items and services that are reasonably expected for your mental health care based on the information known to us at the time the estimate was prepared. Actual charges may differ depending on your treatment needs, including the number of sessions provided and services you request, or your therapist recommends.
The estimate is only valid for thirty (30) days. This estimate is not a contract and does not require you to obtain the services listed. The estimate provided is also not binding on the practitioner.
Additional services that were not reasonably expected at the time the estimate was prepared may be recommended or provided during the course of care (for example, additional therapy sessions or missed-appointment fees, if applicable). If new or revised services are anticipated, we will provide you with an updated Good Faith Estimate.
If you are uninsured (self-pay) and your therapy services are recurring and extend beyond 12 months, a new or updated Good Faith Estimate will be provided.
Current clients may contact Will Psychology, LLC if your billed charges are higher than this Good Faith Estimate to request that the bill be reviewed, to discuss possible adjustments, or to ask about available financial assistance.
If you are uninsured (or self-pay) and you are billed $400 or more above the total amount listed on this Good Faith Estimate for the same services, you have the right to dispute the bill under federal law.
Qualifying patients may initiate a dispute resolution process with the U.S. Department of Health and Human Services (HHS). To do so, you must submit a dispute request within 120 calendar days of the date on the original bill. There is a $25 administrative fee to initiate the dispute process. HHS strongly recommends that initiation forms be submitted through its online federal IDR portal, but you may also mail a completed Patient-Provider Dispute Resolution Form to: C2C Innovative Solutions Inc., Patient-Provider Dispute Resolution, P.O. Box 45105, Jacksonville, FL 32232-5101. If the reviewing entity agrees with you, you will pay the amount listed on this Good Faith Estimate. If the reviewing entity agrees with Will Psychology, LLC, you may be required to pay the billed amount.
If you contact us with a billing dispute or if you initiate a patient-provider dispute resolution process with HHS, your dispute will not adversely affect the quality of therapy services we provide to you.
To learn more and get a form to start the dispute resolution process, go to: www.cms.gov/nosurprises or call CMS at 1-800-985-3059.