The No Surprises Act : Good Faith Estimate
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The No Surprises Act : Good Faith Estimate
Under the new law, health care and mental health care providers must give patients/clients who don't have insurance or who choose not to use their insurance an estimate of the possible bill for medical or mental health services.
You have the right to receive a “Good Faith Estimate” explaining how much your mental health care may cost. Since I do not accept insurance, Elizabeth J. Nua, MFT is required to provide an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including therapy services. You can ask Elizabeth J. Nua, MFT for a Good Faith Estimate before you schedule a service.
The Good Faith estimate shows the costs of services that are reasonably expected for the expected services to address you/your child's mental health needs. The estimate is based upon the information known to me when the estimate was first provided. Although it is not possible for a therapist to know, in advance, how many therapy sessions may be necessary or appropriate for a given person, the estimate provides an idea of the costs involved. Services are provided for an hourly fee that will be disclosed to you upon seeking services. Your total cost of services will depend upon the number of psychotherapy sessions you attend, your individual circumstances, and the type and amount of services that are provided to you.
This estimate is not a contract and does not obligate you to obtain any services from Elizabeth J. Nua, MFT, nor does it include any services rendered to you that are not identified here. Good Faith Estimates are not intended to serve as a recommendation for treatment or a prediction that you may need to attend a specified number of therapy visits. The number of visits that are appropriate in your case, and the estimated cost for those services, depends on your needs and what you agree to in consultation with your therapist. You are entitled to disagree with any recommendations made to you concerning your treatment and you may discontinue treatment at any time.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith
Estimate.
If you have additional questions or would like more information about your right to a Good Faith Estimate, please visit www.cms.gov/nosurprises or call 800-985-3059