Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost Under the law, health care 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 health care 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 www.cms.gov/nosurprises or call 1-800-985-3059.

No Surprises Act

This new law came into effect 1/1/22 requiring to give a Good Faith Estimate.

The basics of the requirements of this Act have been in place  for almost all private practice therapists, since our professional associations have strong ethical standards requiring us to:

  • inform our clients of fees before commencing treatment

  • make it clear that, if you have insurance, you have the option to seek a provider within your network at a lower fee, and 

  • allow clients who choose to work with someone out-of-network to receive a “superbill” which can be submitted for possible partial reimbursement, depending on the policies of your individual plan 

Additional information on how this applies to you will be part of the conversation if you choose to follow through with therapy with me.

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