No Surprises Act and Good Faith Estimate 

Overview

The No Surprises Act is a federal law that helps protect patients from unexpected medical bills. Under this law, individuals who do not have insurance or who choose not to use their health insurance for healthcare services have the right to receive a Good Faith Estimate, outlining expected costs of services before services are provided.

If you are uninsured or self-pay, you may request a Good Faith Estimate that outlines the anticipated cost of therapy services, including session fees and any other reasonably expected charges. You can request this estimate before scheduling services or at any time during treatment.

You have the right

  • To receive a Good Faith Estimate explaining the cost of non-emergency services.

  • If a service is scheduled at least 10 business days in advance, the Good Faith Estimate must be provided within 3 business days.

  • 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.

  • If a service is scheduled less than 3 business days in advance, a Good Faith Estimate is not required.

  • If an individual requests a Good Faith Estimate, it must be provided within 3 business days.

Concerns

If you think you have been wrongly billed or have additional questions regarding the Surprises Act, please contact me.

Please note: You are never required to give up your protections from surprise billing. You also are not required to get out-of-network care. You can choose a provider or facility in your plan’s network.