Home of the only outpatient eating disorder treatment program run by a Certified Eating Disorders Specialist in East Tennessee!
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
The Consolidated Appropriations Act of 2021 initiated a set of rules, effective in January 2022, whereby healthcare providers had to provide notices about rights and protections to help prevent surprise and unexpected billing. This has become known as the "No Surprises" Act or Rules. Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the projected bill for medical items and services. Patients 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. We at Weatherstone Collaborative (WC) will give you a Good Faith Estimate in writing at least 1 business day before your first appointment. You can also ask your other health care providers for a Good Faith Estimate before you schedule an appointment or service with them. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. At WC, we keep a copy with your signature contained in your medical record.
It is important to keep in mind that overall psychotherapy and counseling costs cannot be estimated like a surgical or other medical procedure because the treatment process is one that evolves over time, as opposed to a concrete medical intervention such as a surgery to repair a broken bone. The number of sessions of your work in psychotherapy depends on many factors to be evaluated collaboratively between you and your therapist(s). The best we can do is to inform you of session fees, and to offer some education about potential insurance benefits.
"Cash billing" is used when you are paying for your therapy services with cash, check, or credit card and are not filing insurance claims. WC does not file claims with insurance companies, as we are no longer in network providers. Additionally, you as a client might not want to file insurance claims because you do not want a mental illness diagnosis on your medical record. We accept cash, check, HSA, FSA, ACH transfers, and credit cards for payment.
When paying cash for services, the billing process is simple. You just pay the standard fee for each session conducted at the time of service, unless you have made prior arrangements with our Director of Operations for an invoice-based process. There are no surprises or hidden fees. In some cases where a client expresses financial hardship, we will refer them to Project Heal for assistance, and/or adjust the standard fee to accommodate the hardship. This results in a Net Session Fee. Any reduction of this kind is discussed and agreed to between the Director of Operations and the client in advance of the initiation of treatment. There are no surprises here. With insurance involved, this gets more complicated. Keep in mind that your therapist has only one fee for any given service. The Net Session Fee is the maximum your therapist will charge you for a session. See your “Good Faith Estimate” for more details and clarification.
*At WC we will ask you to keep a credit card on file for billing purposes in our electronic billing system. Payment is due at the time of service. You have the option to be put on an auto-pay system, where your card is automatically charged each week electronically or you can request an electronic invoice to be sent to your email for payment via credit card or ACH bank draft.
Standard Rates for 2024 are available upon request.
Good Faith Estimates do not constitute a contract; they are estimates based on standardized rates and baseline expectations of care requested or required.
If you are finished with your counseling work and have a credit balance, we will issue a refund to you in a timely fashion.
Your Rights
Though we would love to help with your counseling needs, you are not required to see our therapists.
You may choose to not see a given therapist or switch to another therapist at any time.
Rates may be updated during your course of treatment; however, you will be notified in writing in advance of any planned rate changes.
You have freedom to seek other in-network therapists through your insurance company if you want.
Your out-of-pocket expenses with in-network providers will likely be lower than out-of-network providers, except interns and therapists who lower their fee to accommodate hardship.
If you think you have been wrongly billed at WC, contact Randall Morrison at admin@weatherstonecollaborative.com or 865-337-7692 or Stephanie Weatherstone at stephanie@weatherstonecollaborative.com or 865-337-7692. We will be happy to listen and work to resolve the issue.
Additional Rights related to the GFE dispute process (from CMS.gov):
You can ask to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.
You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill. If you dispute your bill, the provider or facility cannot move the bill for the disputed item or service into collection or threaten to do so, or if the bill has already moved into collection, the provider or facility has to cease collection efforts. The provider or facility must also suspend the accrual of any late fees on unpaid bill amounts until after the dispute resolution process has concluded.
The provider or facility cannot take or threaten to take any retributive action against you for disputing your bill.
There is a $25 fee to use the dispute process.
If the Selected Dispute Resolution (SDR) entity reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate, reduced by the $25 fee.
If the SDR entity disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount. To learn more and get a form to start the process, go to www.cms.gov/nosurprises/consumers or call 1- 800-985-3059.