Good Faith Estimate – Your Rights
Under the No Surprises Act, if you are not using health insurance for services, or are uninsured, you have the right to receive a Good Faith Estimate of the expected cost of your therapy services before you begin care. This estimate will include the anticipated cost of sessions based on the expected frequency and duration of treatment.
This is not a bill. It is an estimate based on information available to me at the time it’s provided, and actual charges may differ if your treatment needs change. You are entitled to receive this estimate in writing, and to have it explained to you verbally, at least one business day before your first appointment or within three business days of requesting one.
If your final bill is substantially higher than your Good Faith Estimate, you have the right to dispute the charge. For questions or to request an estimate, please contact me at sarikabahlpsyd@gmail.com.
For more information about your rights under the No Surprises Act, visit www.cms.gov/nosurprises or call 1-800-985-3059.