Fees
“Self-care is so important. When you take time to replenish your spirit, it allows you to serve others from the overflow. You cannot serve from an empty vessel.”
— Eleanor Brown
DISCLAIMER FOR GOOD FAITH ESTIMATE
Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” (GFE) of expected charges.
The GFE shows the costs of items and services that are reasonably expected for services provided by Hidden Path Counseling, LLC. The estimate is based on information known at the time the estimate was created. It does not take into account any reimbursement that you may receive as a result of out of network benefits.
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. You may contact Dr. Jill Mallin to let her know the billed charges are higher than the Good Faith Estimate. You can ask her to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.
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 or call HHS at (800) 368-1019.
Request a free initial consultation.
NOTE: As of December 2024, I am not able to take on new clients. Please check back periodically, as I will update the site when this changes.
Interested in setting up a FREE initial consultation to see if therapy is right for you? Please complete this form to receive a call or email from me. Initial consultations occur over the phone and last approximately fifteen minutes. You are also welcome to call or email using the information below.
jillmallin@hiddenpathcounseling.com
(920) 397-4015
201 N Main Street Suite 411
Fort Atkinson, WI 53538