{"id":4555,"date":"2022-07-27T19:02:12","date_gmt":"2022-07-27T23:02:12","guid":{"rendered":"https:\/\/www.bu.edu\/danielsen\/?page_id=4555"},"modified":"2023-12-12T16:03:43","modified_gmt":"2023-12-12T21:03:43","slug":"good-faith-estimate","status":"publish","type":"page","link":"https:\/\/www.bu.edu\/danielsen\/clinic\/good-faith-estimate\/","title":{"rendered":"Good Faith Estimate"},"content":{"rendered":"<p class=\"p1\" style=\"background: white; margin: 0in 0in 15.0pt 0in;\"><span style=\"font-family: 'Arial',sans-serif; color: #555555;\">You have the right to receive a \u201cGood Faith Estimate\u201d explaining how much your health care will cost.<span class=\"apple-converted-space\">\u00a0\u00a0<\/span>At the Danielsen Institute, we do our best to get accurate information from your insurer and provide that information to you and your clinician so that you may discuss as necessary and set the self-pay fee that every client has in case they do not cancel an appointment more than 24 hours in advance or if their insurance declines to pay for any reason.<span class=\"apple-converted-space\">\u00a0\u00a0<\/span>The benefits quoted to us by your insurance company and the self-pay fee set by your and your therapist will be provided to you on a payment agreement form.<span class=\"apple-converted-space\">\u00a0\u00a0<\/span>Your self-pay fee will never be more than the maximum standard fee for the service here at the Danielsen Institute.<span class=\"apple-converted-space\">\u00a0\u00a0<\/span>Should your insurance policy include a deductible, any visit that your insurer claims is part of that deductible, and it is charged to you at the usual and customary fee for the service as determined by your insurer.<span class=\"apple-converted-space\">\u00a0\u00a0<o:p><\/o:p><\/span><\/span><\/p>\n<p class=\"p1\" style=\"background: white; margin: 0in 0in 15.0pt 0in;\"><span style=\"font-family: 'Arial',sans-serif; color: #555555;\">The Danielsen Institute Clinic standard fees and codes for the most common services we provide are listed here.<span class=\"apple-converted-space\">\u00a0\u00a0<\/span>If you wish to know what your insurance company\u2019s usual and customary fees are, we recommend that you contact them directly.<o:p><\/o:p><\/span><\/p>\n<table width=\"925\" height=\"423\">\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">Initial \u201cIntake\u201d appointment\u00a0 (90791 or 90792)<\/span><\/td>\n<td>$250.00<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Individual therapy, 17-53 minutes\u00a0 (90834, 90832)<\/span><\/td>\n<td>$150.00<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Individual therapy, 53+ minutes (90837)<\/span><\/td>\n<td>$200.00<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Couples\/Family therapy (90847)<\/span><\/td>\n<td>$175.00<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Group therapy (90853)<\/span><\/td>\n<td>$45.00<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Medication Management, 40 minutes (99215)<\/span><\/td>\n<td>$250.00<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Medication Management, 25 minutes (99214)<\/span><\/td>\n<td>$175.00<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"p1\">If you need information about the charge for a service not listed here, please call our main desk at 617-353-3047. <span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p class=\"p4\">For questions or more information about your right to a Good Faith Estimate, click <a href=\"http:\/\/www.cms.gov\/nosurprises\/consumers\"><span class=\"s1\">here<\/span><\/a>, email <a href=\"mailto:FederalPPDRQuestions@cms.hhs.gov\"><span class=\"s2\">FederalPPDRQuestions@cms.hhs.gov<\/span><\/a>, or call 1-800-985-3059.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>You have the right to receive a \u201cGood Faith Estimate\u201d explaining how much your health care will cost.\u00a0\u00a0At the Danielsen Institute, we do our best to get accurate information from your insurer and provide that information to you and your clinician so that you may discuss as necessary and set the self-pay fee that every [&hellip;]<\/p>\n","protected":false},"author":19882,"featured_media":0,"parent":11,"menu_order":10,"comment_status":"closed","ping_status":"closed","template":"page-templates\/no-sidebars.php","meta":[],"_links":{"self":[{"href":"https:\/\/www.bu.edu\/danielsen\/wp-json\/wp\/v2\/pages\/4555"}],"collection":[{"href":"https:\/\/www.bu.edu\/danielsen\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bu.edu\/danielsen\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/danielsen\/wp-json\/wp\/v2\/users\/19882"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/danielsen\/wp-json\/wp\/v2\/comments?post=4555"}],"version-history":[{"count":8,"href":"https:\/\/www.bu.edu\/danielsen\/wp-json\/wp\/v2\/pages\/4555\/revisions"}],"predecessor-version":[{"id":5368,"href":"https:\/\/www.bu.edu\/danielsen\/wp-json\/wp\/v2\/pages\/4555\/revisions\/5368"}],"up":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/danielsen\/wp-json\/wp\/v2\/pages\/11"}],"wp:attachment":[{"href":"https:\/\/www.bu.edu\/danielsen\/wp-json\/wp\/v2\/media?parent=4555"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}