345 Highland Avenue, Cheshire, CT
Do you accept health insurance?
Yes. CT Kids Matter is in-network with the following insurance plans:
My insurance plan is not listed. Can I still be seen?
Absolutely. If your insurance plan is not one of our in-network providers, you may still receive services at CT Kids Matter.
At the time of your visit, payment will be due in full by cash, credit card, or other accepted payment method. We will provide you with a superbill (an itemized medical receipt) that you can submit directly to your insurance company for possible out-of-network reimbursement.
Please note that reimbursement is determined by your insurance carrier, and any reimbursement will be paid directly to you.
What are your weekly session rates?
Initial Consultation – Individual (45-60 min.) $200.00
Individual Therapy (50-60 min.) $160.00
Brief Individual Therapy (45 min.) $120.00
Brief Individual Therapy (30 min.) $100.00
Couples Therapy (45-55 min.) $160.00
How do I know how much my insurance will cover?
Because health insurance plans and benefits vary, we recommend contacting your insurance company directly to understand your mental health benefits, including any copays, deductibles, coinsurance, or out-of-pocket costs you may be responsible for.
If you plan to use out-of-network benefits, we encourage you to contact your insurance provider before your appointment and ask the following questions:
Questions to Ask Your Insurance Company
Helpful CPT Codes
Your insurance company may ask for the procedure (CPT) codes associated with services:
Please note that coverage and reimbursement are determined by your insurance carrier. CT Kids Matter cannot guarantee the amount that will be reimbursed for out-of-network services.
How can I pay for services?
We offer a number of payment options that include cash, check, Health Savings Accounts, debit, and major credit cards.
How long will I be in therapy?
The length of therapy varies from person to person and depends on your individual goals, needs, and circumstances.
For some individuals, a few weeks or months of therapy may be sufficient to work through a specific challenge, such as a life transition, relationship issue, crisis, or acute stressor. Others may choose to engage in therapy for a longer period to address deeper patterns, longstanding concerns, or the impact of traumatic experiences.
Some clients find significant benefit in just a few sessions, while others prefer ongoing support through weekly, biweekly, or monthly appointments over an extended period of time.
Throughout the therapeutic process, you and your therapist will regularly discuss your progress and goals. Together, you will determine when it feels appropriate to reduce the frequency of sessions or conclude therapy altogether.
AETNA, ANTHEM, HUSKY, MEDICAID, MEDICARE, CIGNA, & UNITED HEALTH
Under a new federal rule to protect consumers from surprise health care bills, all health care providers must, effective January 1, 2022, provide a good faith estimate (GFE) of expected charges that may be billed for items and services to individuals who are uninsured (e.g., not enrolled in any health plan or coverage) or who are self-pay (e.g., not seeking to file a claim with their plan or coverage). The rule applies to both current and future patients who are uninsured or self-pay.
YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS
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.
What is “balance billing” (sometimes called “surprise billing”)?
When you see a doctor or other health care 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 health care 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:
Emergency services
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.
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 protection 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.
When balance billing isn’t allowed, you also have the following protections:
If you believe you’ve been wrongly billed, you may contact:
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health 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 expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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.
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