Out-of-Network Billing & Good Faith Estimate Notice

Cooper Mental Health Counseling is an out-of-network mental health practice in New York. This means we do not bill insurance directly for in-network services. All clients are responsible for paying for services at the time of their appointment. If you wish to submit claims to your insurance for out-of-network reimbursement, you must do so yourself.

Your Protections From Surprise or Balance Billing

• Emergency Care: If you need emergency care, you cannot be charged more than your plan’s in-network cost-sharing (copayments, coinsurance, deductible). Cooper Mental Health Counseling does not provide emergency services.

• In-Network Facilities: If you visit an in-network hospital or surgical center, some providers may be out-of-network. You only pay your in-network cost-share for these services, and providers cannot “balance bill” you unless you give written consent.

• No Waiver Needed: You are never required to give up your protections from balance billing, and you can always choose an in-network provider.

Good Faith Estimate (GFE) Notice

If you are self-pay or uninsured, federal law requires that you receive a Good Faith Estimate of the cost of services before care. Cooper Mental Health Counseling fees range from $150-$300 a session. Limited amount of sliding scale low fee sessions are also available with certain clinicians. You can contact us to learn more about our session fees.

Questions or Concerns

If you think you were wrongly billed or want more information about your rights:

• New York State Department of Financial Services: https://www.dfs.ny.gov/

• Federal information on surprise billing: CMS Model Disclosure Notice