Your Right to Receive a Good Faith Estimate
Under the No Surprises Act, health care providers are required to provide individuals who are uninsured or who are not using insurance with a Good Faith Estimate of the expected costs of medical and mental health services.
If you are paying for services yourself (self-pay) or are not using your health insurance benefits, you have the right to receive a written Good Faith Estimate before your first scheduled service or upon request.
A Good Faith Estimate outlines the anticipated costs of the 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 and plan for the cost of your care. Because treatment needs may change over time, the estimate is not a contract and actual charges may vary depending on the services provided.
You have the right to:
Receive a Good Faith Estimate in writing before your first appointment or upon request.
Ask questions about the estimated costs of your care.
Request an updated estimate if your treatment plan or expected services change significantly.
Keep a copy of your Good Faith Estimate for your records.
If you receive a bill that is substantially higher than your Good Faith Estimate, you may have the right to dispute the charges through the patient-provider dispute resolution process established by the U.S. Department of Health and Human Services.
For more information about your rights under the No Surprises Act or the Good Faith Estimate requirements, visit www.cms.gov/nosurprises or call 1-800-985-3059.
If you have questions about the cost of services or would like to request a Good Faith Estimate before scheduling an appointment, please contact the practice. I am happy to discuss fees, payment options, and provide the information you need to make an informed decision about your care.