Out of the Box, Counseling, Coaching, and Consulting

Counseling

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APPROACH

 

THERAPEUTIC APPROACH:

Our therapeutic approach is collaborative, creative, and deeply effective. We help with immediate problems or long-standing struggles. People are naturally vibrant and resilient, but our access to this vibrancy often becomes blocked as we are forced to adjust to life’s challenges. We help you gain awareness of how and why you have lost access to meaningful parts of yourself, find ways to remove obstacles to emotional growth and move towards a life that feels more connected and alive. In doing so, we attend to pass and present circumstances, thoughts, feelings, behaviors, and the body.
We work with individuals, children and adolscents, couples, and families from diverse backgrounds, including culture, ethnicity, religion and faith, abilities and disabilities, and sexual preference, orientation, and identification. We believe all people, regardless of age, have an innate capacity to grow, heal, and change if they are provided with the tools to change in a safe, supportive, and encouraging environment. We use an integrative framework, including evidence-based strategies, to provide a holistic, relational, and experiential approach to change.  Our therapists are easy to talk with, creative, supportive, and great listeners. We listen for solutions while, simultaneously, connecting the past to the present in order to achieve thorough healing.

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ABOUT THERAPY:

During your first appointment, you can expect to discuss your concerns and challenges. Your therapist will offer insights and encouragement as you discuss details that you feel comfortable sharing. Therapy can be short-term and focus on specific challenges or long-term to foster personal growth and reflection. We work with you to achieve your goals and reach your highest potential.

The first appointment lasts for approximately 75-90 minutes. The typical therapy session will last 45-50 minutes. During your first three sessions, you will collaborate with your therapist to create goals for treatment and develop your treatment plan.  Please visit the services page on this website to gain more information about specific treatment options for you and/or your family.

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YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE

 MEDICAL BILLS

(OMB Control Number: 0938-1401)

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.

According to Georgia balance billing laws, insurers must pay for covered emergency medical services for covered persons regardless of network participation of the providers or facilities, without prior authorization and without retrospective denial of services deemed medically necessary.

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.

According to Georgia balance billing laws, if charges arise from a covered person receiving non-emergency services from an out-of-network provider at an in-network facility, this is considered a “surprise bill,” and insurers must pay for covered services regardless of network participation of the provider. 

When balance billing isn’t allowed, you also have the following protections:

  • You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
  • Your health plan generally must:
  • Cover emergency services without requiring you to get approval for services in advance (prior authorization).
  • Cover emergency services by out-of-network providers.
  • Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
  • Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.

If you believe you’ve been wrongly billed, you may contact: The Georgia Secretary of State at 404.656.2881 or https://sos.ga.gov/cgi-bin/email.asp if you prefer to communicate by email.

Visit https://www.cms.gov/files/document/model-disclosure-notice-patient-protections-against-surprise-billing-providers-facilities-health.pdf for more information about your rights under Federal law.

Visit https://oci.georgia.gov/news/2020-12-30/office-commissioner-insurance-and-safety-fire-posts-final-surprise-billing for more information about your rights under Georgia balance billing laws.

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