Fees
Dr. Kiely’s fees are comparable to other skilled psychologists in the broader San Francisco Bay Area who have commensurate training backgrounds and skill sets. Currently, Dr. Kiely is a contracted provider only with Medicare. He otherwise is not accepting insurance at this time.
New patients with PPO insurance plans may wish to exercise out of network benefits. If so, services may be eligible for reimbursement to some degree as part of the out of network benefit option. To help facilitate out-of-network claims, Dr. Kiely will provide you with a statement, frequently called a SUPERBILL, which contains all necessary information to submit to an insurance company.
insurance
superbill
A SUPERBILL is a statement prepared by medical practitioners that allows clients to seek retroactive reimbursement directly from their health insurance. The information contained in the SUPERBILL includes the the client's basic demographic information, the date of service, description of services, diagnosis code(s), the CPT billing code (and # of units), and the necessary provider information.
A SUPERBILL, however, does not guarantee that an insurance provider WILL pay for the services provided. Insurance plans are widely variable, and it is ultimately the patient’s responsibility to contact their insurance provider to familiarize themselves with their respective health benefits.
The No Surprises Act was designed to protect consumers from receiving unexpected medical bills. The No Surprises Act also requires both healthcare facilities and individual healthcare practitioners to furnish uninsured/self-pay patients with a Good Faith Estimate (GFE) of the potential cost of a proposed treatment in a calendar year. Dr. Kiely is required to comply with the No Surprises Act, and will work hard to prepare GFEs for all clients at the outset of treatment. If you have questions about the No Surprises Act or how it might impact you, please feel free to contact Dr. Kiely.
If you are billed for more than your Good Faith Estimate, you have the right to understand any discrepancies and dispute the bill. First, contact therapist to let them know that the billed charges are higher than the Good Faith Estimate. You can ask your therapist for clarification, ask to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call CMS at 1-800-985-3059
NO SURPRISES ACT
Ready to schedule an appointment? Have questions about fees? To book an appointment, please email at tomkielyphd@gmail.com, or call at (415) 938-4954, or visit the CONTACT page via the button below.