· You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost 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 any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

• 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. You can also ask your healthcare 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 the bill. (To dispute your bill the process charges a $25 fee.)

•  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, visit www.cms.gov/nosurprises or call 800-985-3059. 

In my practice, I will offer Good Faith Estimates that project out 12 months in advance. (This is due to session rates increasing, I will ONLY increase session rates at the first of every year. If you ask for an estimate in June 2022, I will give you until the following June with the session rate increase included.)  Essentially, your estimate will give you a reasonable idea what to expect in terms of therapy costs for one whole year, based on my current rates and the frequency of sessions that we mutually agree upon in advance. A Good Faith Estimate WILL include your name, date of birth, description of services, itemized list of services to be expected, diagnostic codes, provider name, NPI, tax ID number, and where office is located.