No Surprises Act & Your Right to a Good Faith Estimate
Under the No Surprises Act, health care providers are required to provide a Good Faith Estimate of expected charges to clients who are uninsured or who choose not to use their health insurance benefits.
What is a Good Faith Estimate?
A Good Faith Estimate outlines the expected costs of the mental health services you may receive. The estimate is based on the information available at the time it is provided and is intended to help you understand the anticipated cost of your care before services begin.
Because mental health treatment is individualized, the total cost of care may vary depending on factors such as the number of sessions, changes to your treatment plan, or additional services that become clinically appropriate over time.
Your Rights
You have the right to receive a Good Faith Estimate if you are:
Paying for services yourself (self-pay), or
Not submitting claims to your health insurance plan.
You may request a Good Faith Estimate before scheduling services or at any time during treatment.
If Your Bill Is Higher Than Your Estimate
If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the charges through the federal patient-provider dispute resolution process.
You may also contact your provider to discuss the bill, ask questions, or explore available payment options.
Learn More
For additional information about your rights under the No Surprises Act, visit the Centers for Medicare & Medicaid Services website at cms.gov/nosurprises or call 1-800-985-3059.
If you have any questions about Good Faith Estimates or fees for services, please contact our office before your appointment. We are happy to answer any questions and help you understand the anticipated costs of care.