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Good Faith Estimate

Under Section 2799B-6 of the Public Health Service Act (PHSA), healthcare providers and healthcare facilities are required to inform individuals who are not enrolled in an insurance plan or coverage or a Federal health care program, or not seeking to file a claim with their insurance plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” (GFE) of expected charges.

 

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, healthcare providers need to give patients who don’t have insurance, or who are not using insurance, an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

  • Make sure your healthcare provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

  • Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit https://www.cms.gov/nosurprises/ and/or https://www.cms.gov/nosurprises/consumers/new-protections-for-you.

Clients Using In-Network Insurance:  The Act will require Good Faith Estimates of the cost of services for the duration of treatment later this year after the Federal government issues further guidance.

Clients Forgoing Use of Their Insurance or Uninsured: In most/all cases we are required to provide you a Good Faith Estimate shortly before our first session.  You are under no obligation to sign it but we may need to decline treatment if we do not sign an agreement.

For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call 800-368-1019.

You can review our rates and the insurances we accept on our Insurance/Rates page.

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