Good Faith Estimate

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

Under the No Surprises Act, healthcare providers must provide clients who do not have insurance or who are not using insurance with an estimate of expected charges for services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services.

You may ask for a Good Faith Estimate:

• before scheduling services

• or at any time during treatment

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

For questions or more information about your rights, visit:

https://www.cms.gov/nosurprises

Centers for Medicare & Medicaid Services

If you are a client and have questions about your PHI, please refer to our Privacy Policy, Terms & Conditions, Website Disclaimer & HIPAA Notice or contact us directly through secure communication channels.