FEES

DBT Linehan Board of Certification - Certified DBT Clinician

Sarah Greenwood, M.A., LPC, LCMHC, (SC. # 6276|NC. #17041), Director at DBT of Charleston
DBT-Linehan Board of Certification, Certified Clinician™
Experienced Advanced 500 hr. Certified Yoga Therapeutics Instructor

Fees Guidance and Applicable Information

Please contact us to get a fees breakdown of DBT +DBT PE Program services, along with any Yoga Therapeutics services you may be pursuing. Sarah Greenwood, LPC, LCMHC does not take insurance, nor get involved with insurance providers (or their forms) in any way directly and all services are self-pay.

Please contact your insurance provider to see if you may be eligible to get any insurance reimbursement for any of our services. Specifically, ask your insurance provider about what amount they would reimburse you for individual sessions, group therapy & “extended length individual prolonged exposure sessions”. Keep in mind your insurance provider may not reimburse you for the full cost of your payment since we are considered an “out-of-network” provider.

At DBT of Charleston and Yoga Therapeutics of Charleston, we require you to be prepared for all service fees and committed to out-of-pocket payment 48-hours prior to the time of your services in order to qualify for intake assessments, orientation & DBT + DBT PE program entry.

We provide bills that include coding to help support smooth submission if you are pursuing insurance reimbursement with your company. Further, we give you provider numbers if your company needs them and we are able to add these to your invoices upon your request to support smooth submission for your reimbursement pursuits.

If this is not workable for you, you may consider seeking an in-network provider like Charleston Dorchester Mental Health Center or another in-network atmosphere that your insurance will cover in-network. While Charleston County Mental Health does not offer the full DBT program to our knowledge, you still may inquire with Charleston Dorchester Mental Health Center to see if they may offer you “DBT Informed” services.

Alternatively, contact the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Treatment Referral Routing Service for information and referrals to local treatment facilities, support groups, and community-based organizations.

A Note on DBT-Informed Services & Referrals

We do generally know who does offer full DBT with adherence and proper training, since DBT therapists in communities are highly team-oriented. (See Choosing a True DBT Therapist.)

If you are a (new) qualified DBT provider in our community with updates on this matter, please reach out to us for our DBT adherence & proper training inquiries to be considered by us as a referral resource throughout the Carolinas if you’re virtual.

While “DBT-Informed” approaches will not offer you the full program benefits, they may offer some support. (See What You Need To Know About DBT Referrals.) While we have an extremely high demand of people in need of our program with a great volume of local, national & inter-national referral callers, slot availability versus the high level of DBT program need in our communities keeps us quite full with good work.

This is reflective of the fact that fully certified DBT therapists running fully adherent DBT programs alongside a team of properly trained therapists only number a few hundreds world-wide, and even less for fully Linehan Certified DBT + Advanced DBT PE providers.

Please check Further Resources where we continue to upload many supportive resources to help our communities and to balance out the need versus availability to help soften a bit of that gap based on our being one of the few-and-far-in-between fully certified DBT providers worldwide. No matter what your situation is coming in amongst the many folks reaching out, on rare occasion one of our unique scholarship slots may come available. Please inquire with us about our current availability for those slots if this is of interest to you.

Your Rights and Protection Against Surprise

Medical Bills

(OMB Control Number: 0938-1401)

When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

What is “balance billing” (sometimes called “surprise billing”)?

When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.

“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.

“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care – like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.

You are protected from balance billing for:

Emergency services

If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.

Certain services at an in-network hospital or ambulatory surgical center

When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.

If you get other services at these in-network facilities, out-of-network providers can’t balance bill you unless you give written consent and give up your protections.

You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.

When balance billing isn’t allowed, you also have the following protections:

You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.

Your health plan generally must:

Cover emergency services without requiring you to get approval for services in advance (prior authorization).
Cover emergency services by out-of-network providers.
Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.

If you believe you’ve been wrongly billed, you may contact: https://llr.sc.gov/cou/ for South Carolina -and- for North Carolina https://www.ncblpc.org

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.