Katy Clark, LMSW

If you have out-of-network benefits with an insurance plan not listed here, I can provide a superbill which you can submit to your insurance for reimbursement.

Please note that I am unable to offer a superbill for relationship therapy. This is because this service does not meet medical necessity standards for insurance or have a billable procedure code.

In order to provide the best care possible, I ask that clients provide notice two days ahead of time to cancel scheduled appointments and avoid cancellation/missed appointment fees. My policy allots fee waivers in certain cases to cover unanticipated emergencies and human error. You will receive a complete copy of all financial policies in your intake packet.

If you will be paying out of pocket for therapy, I will include a Good Faith Estimate in your intake paperwork when we schedule our first appointment. The following notice is required by law:

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 bill for medical items and services.

You 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.

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

For questions or more information about your right to a Good Faith Estimate, visit http://www.cms.gov/nosurprises or call 734-210-0116.