Annville Psychological Services
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    • Portal Link
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    • Fees and Payment
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    • Specialities
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    • Good Faith Estimates
    • Insurance
    • HIPAA Privacy Information
  • About Treatment
    • About CBT
    • Anxiety
    • Depression
    • Autism Spectrum Disorders
    • Obsessive Compulsive Disorder
    • ADHD
    • Behavior Problems in Children and Teens
    • Insomnia
    • Trauma
    • Couples Therapy
  • Contact
  • Immigration Evaluations
Your Right to a Good Faith Estimate

If you are planning to pay out of pocket instead of using insurance, you will receive a good faith estimate so that you can understand the likely cost to you for working with us. 

​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 costs for medical items and services.

You have the right to receive a Good Faith Estimate for the total estimated cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 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. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

Please note: If you are not using insurance for our services, your good faith estimate will be included in your initial intake forms through our portal. Please let us know if you have any questions or did not receive one. 

Make sure to save a copy or take a 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 1-800-985-3059.  


Annville Location
44 E Main Street
​Annville, PA 17003








​phone: (717) 966-1388


fax:      (833) 903-1465   
 
email: ​[email protected]




HARRISBURG LOCATION

5775 Allentown BLVD

​Harrisburg, PA 17112

​
  • Home
  • Our Team
    • Annville Team
    • Harrisburg Team
    • Our Support Staff
  • Information
    • Portal Link
    • Scheduling Appointments
    • Fees and Payment
    • Telehealth Information
    • Specialities
    • Services
    • Good Faith Estimates
    • Insurance
    • HIPAA Privacy Information
  • About Treatment
    • About CBT
    • Anxiety
    • Depression
    • Autism Spectrum Disorders
    • Obsessive Compulsive Disorder
    • ADHD
    • Behavior Problems in Children and Teens
    • Insomnia
    • Trauma
    • Couples Therapy
  • Contact
  • Immigration Evaluations