All fees are due at the time of service. I am not in-network with any health insurance. Some insurance companies have out-of-network benefits. You should contact your insurance company to determine your specific plan benefits. I am happy to provide you with a receipt called a “super bill” that you can submit to your insurance carrier for potential reimbursement. We can discuss any questions you have about fees, insurance, and payment options during our initial consultation.
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Intake Assessment, 60 minutes, $ 200
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Individual Therapy, 50 minutes, $150
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cognitive behavioral therapy, 50 minutes, $150
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family therapy, 90 minutes, $225
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DBT Skills therapy, 50 minutes $150
forms & Fees
Forms for Your First Appointment
Please complete the forms below and either email them to me or bring them to your first appointment. Feel free to be in touch if you have any questions!
STANDARD NOTICE
“Right to Receive a Good Faith Estimate of Expected Charges”
Under the No Surprises Act
You have the right to receive a “Good Faith Estimate” explaining how much your medical 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 bill for medical items and services.
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You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
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Make sure your health care provider gives you a Good Faith Estimate in writing at least one 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.
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If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
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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 404-600-0864.
Communication with The Healthy Balance, LLC or Fran A Lanza, LCSW does not by itself create a client-therapist relationship or constitute the provision or receipt of psychological services. Any communication with The Healthy Balance, LLC or Fran A Lanza, LCSW should be considered informational only, and should not be relied or acted upon until a formal client-therapist relationship is established pursuant to a written agreement.
ALL CLIENTS MUST BE LOCATED IN GEORGIA