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We work with the following insurance plans:

United Healthcare Insurance United Behavioral Health UBH
Blue cross Blue shield health insurance
Aetna health Insurance
Anthem Insurance, Anthem Blue Cross Blue Shield
carelon health insurance
Colorado community health alliance Medicaid health insurance
Colorado access Medicaid health insurance
Health First Colorado Medicaid health insurance
cigna health insurance
Medicare health insurance
TriWest health insurance

As an "out of network provider"

Self Pay Rates:

New Patient Appointment (60 minutes) - $250
Follow up Appointment (30 minutes) - $125

If this is unaffordable, please contact us at Support@KopasMentalHealth.com
From time to time, we may be able to offer sliding scale prices.

 

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Your Rights and Protections Against Surprise Medical Bills & Your Right to a Good Faith Estimate

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. When you receive care at our practice as an uninsured or self-pay patient, you are protected by federal law through your right to a Good Faith Estimate.

1. 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.

Colorado State Protections Against Balance Billing

Beginning January 1, 2020, Colorado state law (C.R.S. § 10-16-704) protects consumers with state-regulated health insurance plans (look for "CO-DOI" printed on your insurance card) from balance billing. Under Colorado law, you cannot be balance-billed for:

  • Emergency services provided by an out-of-network provider or facility.

  • Non-emergency services provided by an out-of-network provider at an in-network facility, unless you knowingly gave explicit written consent beforehand.

Please Note: Because our practice is an outpatient facility, if you intentionally choose to seek non-emergency psychiatric care from us on an out-of-network basis, Colorado state law protections against balance billing do not apply, and you will be responsible for the full cost of care.

2. Your Right to a Good Faith Estimate

(For Uninsured or Self-Pay Patients)

Under the federal No Surprises Act, health care providers must give patients who do not have insurance, or who are not using insurance to pay for their care, an estimate of the bill for medical items and services.

  • You have the right to receive a written Good Faith Estimate (GFE) for the total expected cost of any non-emergency items or services, including psychiatric evaluations, psychotherapy, and medication management sessions.

  • Your healthcare provider must give you a Good Faith Estimate in writing at least 1 business day before your medical service or item if scheduled 3–9 days out, or within 3 business days if scheduled 10+ days out. You can also ask your healthcare provider 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 for a specific service, you have the legal right to dispute the bill through the federal Patient-Provider Dispute Resolution process.

  • Make sure to save a copy or picture of your Good Faith Estimate.

3. If You Believe You Have Been Wrongly Billed

For Federal or Good Faith Estimate Disagreement:

If you have questions about your estimate, or if you believe you have been wrongly billed under the federal No Surprises Act, you may contact the federal help desk:

For Colorado State Insurance Disagreement:

If you believe you have received an illegal balance bill under Colorado State law, or if you want to file a complaint against your health care provider, contact the Colorado Department of Regulatory Agencies (DORA), Division of Insurance:

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