New Patient

Inquiry

Insurance

In Network Insurance

  • Most Blue Cross Blue Shield plans

  • United Healthcare

Out of Network Insurances

  • We will file out of network claims with Aetna plans

NOT ACCEPTED

  • At this time, we do not accept any Medicaid plans. We can provide superbills for other major insurances upon request.

Good Faith Estimate

Under federal law (the No Surprises Act), health care providers must give clients who don’t have insurance or aren’t using insurance an estimate of expected charges for medical services.

Your right to a Good Faith Estimate (GFE):

At Triform Therapy, we believe in transparent, family-centered care — and that includes helping you understand your potential costs ahead of time.

  • You have the right to receive a Good Faith Estimate explaining the total expected cost of any non-emergency therapy services.

  • This includes evaluations, ongoing therapy sessions, and specialized treatment programs (such as DMI, speech, OT, and AAC intensives).

  • You will receive a written Good Faith Estimate at least one business day before your scheduled service if you are not using insurance.

  • You can also request a Good Faith Estimate before scheduling any service.

If your bill is higher than expected:

If you receive a bill that is $400 or more than your Good Faith Estimate, you have the right to dispute the bill.

Be sure to save a copy or picture of your Good Faith Estimate for your records.

Questions or Disputes:

If you have questions about your Good Faith Estimate or would like a copy, please contact:

Triform Therapy

3455 Brentwood Dr.

Baton Rouge, LA 70809

(225) 523-4244
info@triformtherapy.com

To learn more about your rights or how to start a dispute, visit
www.cms.gov/nosurprises