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FREQUENTLY ASKED QUESTIONS

WHAT IS YOUR NEW PATIENT PROCEDURE?

All clients that contact us seeking therapy services are eligible for a free consultation to see if Gabriel Therapy Group is a match for providing services to your child. We will ask questions needed to give us insight on your concerns and will provide recommendations for what we feel the next steps would be. All of our clients are required to complete intake, financial agreements and background information forms prior to scheduling their evaluations.

 

Once the evaluation is completed, we will provide you with a detailed report, recommendations and goals for your child. Evaluations may need to be scheduled at a non-preferred time to allow for the clinicians to have enough time to complete all the required assessment portions. However, we strive to schedule our regular therapy sessions at a mutually agreed upon time to match the busy family schedule.

WHAT OPTIONS DO I HAVE FOR PAYMENT?

We are in network with some insurances. Patient responsibilities and private payments can be covered via cash, check, or credit card. We are also approved providers for the Step Up for Students Grant and can bill directly using the Student ID.

DO YOU ACCEPT INSURANCE?

Yes! We are expanding in this area, so please feel free to call and ask if you have questions about your specific plan. We are currently in network with United Healthcare, select policies with Sunshine Health, Florida Medicaid, and Children's Medical Services (CMS).

 

If we are not a provider for your plan, and we may be able to bill towards your Out of Network deductible or plan. You also may be able to seek reimbursement from your private insurance company, we will provide you, upon request, with a statement of services (a superbill) that can be submitted to request reimbursement. It is recommended you contact your insurance company prior to beginning therapy services with any questions you may have regarding your coverage and reimbursement for out-of-network providers. Please contact us and we can help you navigate this conversation with your insurance plan and provide details on what we can provide. 

 

[A superbill is a detailed invoice outlining the services a client received. The client submits the superbill directly to the insurer, giving the insurer all the information they need to pay the claim. It is up to insurar if they pay all, none, or some of the bill for therapy.]

WHEN ARE PAYMENTS DUE?

All clients and associated insurances are billed the following week for services rendered in order to keep accounts up to date.

DO YOU REQUIRE AN EVALUATION TO BEGIN SERVICE?

We do require you to have a complete evaluation prior to beginning therapy services. If you are able to provide a current evaluation and plan of care from a previous clinician conducted within the past 6 months, we may be able to start services right away, if the evaluation assesses all areas of concern for the child.

WHAT IS YOUR CANCELLATION POLICY?

We all know children get sick or scheduling conflicts come up and at times, and you have to cancel. We ask for pro-active communication with scheduling and ask for a 24-hour notice. If last-minute cancellations happen repeatedly we will work with you to determine if another therapy time is a better fit.  Cancellations made without at least 24-hour notice, or no-shows may be charged a full session fee. Continued cancellations or no shows after 3 missed sessions could result in dismissal of services or having your child be placed on our waiting list until a better therapy time is available for your family.

WHAT IS THE NO SURPRISES AND GOOD FAITH ACT?

Beginning January 1, 2022, if you opt for self-pay (i.e., not going through your health insurance), health care providers like me must provide you with an estimate of the expected charges before you get an item or services are conducted. This is called a good faith estimate (GFE).


Providers and facilities (like GTG) must provide you with a GFE if you request one, or after you’ve scheduled a service. It should include the expected charges for all items or services that are provided as part of the same scheduled experience. The provider must provide a list of all items and services associated with your care.

For more information, please visit the Centers for Medicare and Medicaid Services (CMS) website at www.cms.gov/nosurprises.

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