Woman by the Water

NOTICE TO CLIENTS AND PROSPECTIVE CLIENTS

Good Faith Estimate

Under the law, health care providers are required to provide clients who are uninsured (private pay) or who are insured but opts out of using their insurance an estimate of the expected charges for medical services, to include psychotherapy, counseling, or mental health services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, to include psychotherapy, counseling, or mental health services.

Individuals can ask their or any health care provider for a Good Faith Estimate prior to scheduling a service, or at any time during treatment.

If you receive a bill that is at least $400 more than your provided 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, or how to dispute a bill, see your Estimate, or visit www.cms.gov/nosurprises..