No Surprises Act

True North Occupational Therapy, LLC: Out-of-Network and Your Rights

Please be aware that True North Occupational Therapy, LLC, is an out-of-network provider and does not participate in any insurance plans, nor is it affiliated with any in-network hospitals or ambulatory surgical centers. Therefore, the protections against surprise medical bills, as outlined below, may not directly apply to our services.

Understanding Balance Billing and Your Rights

Typically, federal law protects you from "balance billing" (also known as "surprise billing") in certain situations:

  • Emergency Services: If you receive emergency care from an out-of-network provider or facility, your financial responsibility is generally limited to the in-network cost-sharing amounts (copayments, coinsurance, deductibles).

  • In-Network Facilities, Out-of-Network Providers: When receiving services at an in-network hospital or surgical center, certain out-of-network providers (e.g., anesthesiologists, radiologists) cannot balance bill you for specific services.

Important Considerations for True North Occupational Therapy, LLC

  • Because True North Occupational Therapy, LLC, is an out-of-network provider, these protections do not apply to our services. You will be responsible for the full cost of our services.

  • It is crucial to understand that you are choosing to receive services from an out-of-network provider, and you will be responsible for the fees associated with those services.

  • We will provide clear and transparent information regarding our fees prior to any service provision.

  • We encourage you to contact your insurance provider to understand your out-of-network benefits, and how they may pertain to occupational therapy services.

Your General Rights and Protections

While the "No Surprises Act" protections may not directly apply to True North Occupational Therapy, LLC, it's essential to be aware of your general rights:

  • You are responsible for understanding your insurance coverage and out-of-pocket costs.

  • You have the right to choose your healthcare providers.

For Further Information

  • For more information about your rights under federal law, you can contact the No Surprises Help Desk at 1-800-985-3059 or visit www.cms.gov/nosurprises/consumers.

True North Occupational Therapy, LLC, emphasizes transparency and encourages you to discuss any financial concerns with us before beginning services.