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Total cost estimate of what you may be asked to pay:

 

It is your ethical right to determine your goals for treatment and how long you would like to remain in therapy unless you are pursuing mandatory treatment. 


► Review your detailed estimate. See payment tab for a cost estimate for each item or service.
► Call your health plan. Your plan may have better information about how much of
these services are reimbursable.
► Questions about this notice and estimate? Please email Skye Clark, MS at
skyeclarkcounseling@gmail.com with questions or call 615-266-3899.
► Questions about your rights? Contact: TN Department of Health Board of Licensed Professional Counselors, Licensed Marital and Family Therapists and Licensed Pastoral Therapists at (615) 741-5735. Website: https://www.tn.gov/health/health-program-areas/health-professional-boards/pcmft-board.html

 

Prior authorization or other care management limitations

Except in an emergency, your health plan may require prior authorization (or other limitations) for certain items and services. This means you may need your plan’s approval that it will cover an item or service before you get them. If prior authorization is required, ask your health plan about what information is necessary to get coverage.

More information about your rights and protections

Visit https://www.cms.gov/files/document/model-disclosure-notice-patient-protections-against-surprise-billing-providers-facilities-health.pdf for more information about your rights under federal law.

No Surprises Act 
Effective January 2022
 

Crisis Resources

TN Crisis Hotline
855-274-7471

Suicide Prevention Hotline
988


Crisis Walk-In Centers in Tennessee

 

Frontier Health
208 E. Unaka Avenue
Johnson City, TN 37601
877-928-9062

 

McNabb Center
5310 Ballcamp Pike
Knoxville, TN 37920
865-541-6958

 

McNabb Center
320 West 3rd North Street
Morristown, TN 37814
423-273-5599

 

Volunteer Behavioral Health
1200 S Willow Avenue 
Cookeville, TN 38506
800-704-2651

 

Volunteer Behavioral Health
413 Spring Street
Chattanooga, TN 37405
800-704-2651

 

Mental Health Cooperative
275 Cumberland Bend, Ste. 237
Nashville, TN  37228
615-726-0125

 

Pathways of Tennessee
238 Summar Drive
Jackson, TN 38301
731-541-8258

 

Alliance Healthcare Services
951 Court Avenue
Memphis, TN 38103
901-577-9400

"Because you are alive, everything is possible." 
                                          -Thich Nhat Hanh

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