SERVICE FEES AND INSURANCE OPTIONS

INSURANCE

Gil Institute is a mental health group private practice with psychotherapists who are out-of-network providers. Each therapist provides his/her client with a clinical invoice with diagnostic and procedural codes that maximize the potential for insurance reimbursement. Most of our clients are successful in securing a significant percentage of fees covered by insurance given that our mental health practice has specialty treatments for developmental trauma or traumatic stress, including specialized interventions for young children and their families.

If you wish to become a Gil Institute client, please contact your insurance company prior to your intake appointment, in order to obtain specific plan information, including out-of-network percentage of fees for specialized services, co-pay obligations, and expected timeframe for reimbursement upon receipt of a monthly clinical service invoice. Gil Institute clients or parents of clients assume the responsibility of submitting invoices upon receipt from their therapist. When talking with your insurance company, we recommend asking if an intern or resident will be covered when supervised by a licensed professional who will also be listed on the invoice you submit.

FEES

Psychotherapy fees vary depending on each therapist’s credentials (Master’s or Doctoral level) and level of training and experience. Our fees are consistent and comparable to rates for similar services in the Northern Virginia area. Our therapists also reserve some lower fee or pro bono openings and lower fees are also available when working with clinical interns and residents.

Gil Institute clinical interns are master’s or doctoral level students who have completed educational requirements sufficient to ensure delivery of quality services under the supervision of a licensed clinician. Clinical residents have graduated from their clinical program and work under supervision until they have completed direct service hours and obtained a license to practice in Virginia. All interns and residents are required to participate in weekly supervision in addition to having access to clinical guidance as needed.

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. Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. 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.

PAYMENT FOR SERVICES

Payment is due at the time of service and not at the time of insurance reimbursement. Given that service rates vary depending on the credential of the therapist, specific rates can be reviewed by our intake coordinator upon referral and discussed further with the assigned therapist. New referrals undergo a screening process where assessment or treatment needs are matched with a therapist with the appropriate training and experience to meet those needs. While our clinical intake coordinator obtains general information initially, clients and therapists decide whether to proceed with the provision of services during the initial clinical interview.