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We provide out-of-network service with optional billing for insurance. This means we provide psychotherapy and psychological assessment services at a fee-rate directly to you. Some individuals prefer to use a Health Saving Account.  Alternatively, as a courtesy, we can provide a "Superbill" to you for possible reimbursement to your insurance carrier. These forms include all the information needed to request reimbursement from an insurance carrier. If you would like to use your insurance, please call your carrier to request information about their policy and reimbursement with Superbils. They may ask for the following provider information:

Dr. Jeffrey Schloemer, PsyD

NPI: 1326380197

WA #: PY 60731264

ID#: PSY 203564

For several reasons I am not paneled with insurance. First, there are barriers to privacy when a third-party payer is financially responsible for treatment/service costs. Often, there are also restrictions on acceptable treatments modalities which can hamper reimbursement. Secondly, privacy for many people is an increasing priority and a growing concern. For those who wish to keep their mental health records private for employment concerns, future medical or insurance concerns, or for those who wish to minimize records of their treatment, a private fee-for-service option is preferred. 


Lastly, there are increasing incident-rates of hacking and breaches of confidential information within large corporate data bases. By keeping your records truly private there is minimal risk of your health information getting stolen or hacked. 


I understand this option is not for everyone and that the cost of psychotherapy and psychological evaluations can be burdensome. For those who are interested in receiving services which can be covered by third-party-payer systems, I am happy to provide a referral. 


This Notice is provided to you by Law: (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 healthcare 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: The Secretary of State for Washington (360-902-4151) or Idaho (208-334-2300) depending on where you live.  


Visit for more information about your rights under Federal law.


Visit for more information about your rights under WA state laws.  And visit for information about rights under ID state laws. 

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