Under federal law, clients who self-pay or use out-of-network benefits are entitled to a Good Faith Estimate for the cost of care. Providers must give this estimate in writing at least one business day before services begin.

If you receive a bill that is $400 or more above your Good Faith Estimate, you have the right to dispute it. (Cancellation fees are excluded.) Keep a copy of your estimate.

Learn more at www.cms.gov/nosurprises
Or call us at (917) 722-2392 — our administrative team is here to support you in understanding insurance and billing.

New laws in New York and Connecticut require healthcare providers to share specific information when credit cards are used to pay for medical or mental health services.

Using a credit card may result in interest charges, fees, or other debt obligations determined by your card issuer. These charges are set by your bank, not by our practice.

As part of these laws, clients are asked to acknowledge that they understand these potential risks when choosing to use a credit card. This disclosure is informational and does not change your access to care. Other payment options, such as debit cards or HSA/FSA cards, may be available depending on your account.

If you have questions about payment options, we are happy to review them with you.

We’ve made several intentional choices to reduce harm and increase flexibility:

• If you have a copayment, coinsurance or deductible; at this time, we don’t pre-bill or bill at the time of service but 24-48 hours after your session. 

• The client portal allows you to voluntarily store a payment method for convenience. 

• Late cancellation or no-show fees may apply for self-pay and commercial insurance plan holders, as your therapist has held time specifically for you and may not be able to refill that slot within the week. We understand that emergencies happened, discuss with your therapists for opportunities to reschedule if they are able.

• Many therapists waive late fees at their discretion, especially when circumstances are communicated.

• No-interest payment plans are available if cost becomes a concern, do not hesitate to reach out to the office. 

These policies are not about punishment or pressure. They reflect the real impact of time held, labor provided, and the shared responsibility required to sustain care in a relational, ethical practice.

We believe people should have a choice in who manages their care and how. Our office practices are designed to be as mindful as possible of financial stress, life disruptions, and systemic barriers while also honoring the labor of our therapists and the sustainability of the practice.

If you have questions, need support, or want to explore payment options, our office community is here to help. We appreciate the trust you place in us and remain committed to transparency as we navigate an increasingly complex healthcare landscape together.

Whenever there is a late cancellation or missed session. We encourage clients to reschedule within the week to maintain continuity of care. Your therapist understands that life happens and will use their discretion when deciding whether to apply a late cancellation or no-show fee. We know that illness, emergencies, and unexpected disruptions come up. In these situations, late fees are often waived, especially when you’re able to communicate and reschedule.

Our goal is to offer care with flexibility while honoring the time set aside for you. If you have questions or concerns about scheduling or fees, talk to your therapist. If a payment plan is needed, please speak with the office.