Fee Schedule

THE NO SURPRISES ACT & GOOD FAITH ESTIMATES

The No Surprises Act was passed under Section 2799B-6 of the Public Health Services Act with the aim of protecting consumers from receiving unexpected medical bills.  The Good Faith Estimate provision federally mandates that health care providers give clients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services.  This took effect on January 1, 2022.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.  A Good Faith Estimate intends to offer predictability & transparency in how much you will be charged for healthcare services prior to your appointments. This estimate shows the costs of items and services you can reasonably expect for your health care needs.

As my client, you will receive a Good Faith Estimate which will be reviewed, updated and renewed in collaboration with you, every 12 months. The Good Faith Estimate is for your awareness and is not a contract and does not bind, obligate or require any client to obtain or maintain healthcare services from me at any time.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

• You have the right to receive a Good Faith Estimate for the total expected cost of non-emergency items and services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

• The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You may experience additional charges if complications or exceptional circumstances occur.

• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. If a service is scheduled at least 10 business days in advance, the Good Faith Estimate must be provided within 3 business days (of scheduling). If a service is scheduled at least 3 business days in advance, the Good Faith Estimate must be provided within 1 business day of scheduling.

• You can also ask your health care provider and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute this bill. The federal government offers a dispute resolution process for this purpose.

• 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 about the dispute process, please visit www.cms.gov/nosurprises or call 800-985-3059.