If you do not have insurance or do not plan to use insurance, federal law gives you the right to receive an estimate of the expected cost of scheduled health care services.
Your Right to an Estimate
Under the No Surprises Act, uninsured and self-pay clients generally have the right to receive a written Good Faith Estimate explaining the expected charges for non-emergency services. You may request an estimate before scheduling, or one will be provided when required after services are scheduled.
When You Can Expect It
When care is scheduled at least 3 business days in advance, the responsible provider or practice will provide the estimate within the timeframe required by federal law. You may also request a Good Faith Estimate at any time before scheduling.
Your estimate will be based on the information known at that time and may include the expected frequency and duration of services. It is not a contract and does not require you to receive care.
Who Provides Your Estimate
The organization responsible for your scheduling and billing will provide the applicable estimate. Florida clients may schedule through Be Fehr Counseling, Washington clients through Mindful Therapy Group, and Arkansas and Alabama clients through Headway. Fees, benefits, and billing policies may differ by organization and state.
If a Bill Is Substantially Higher
If you receive a bill that is at least $400 more than the total shown on your Good Faith Estimate, you may be eligible to use the federal patient-provider dispute resolution process. Keep a copy of your estimate and the bill.
For more information about your rights or the dispute process, visit cms.gov/nosurprises or call the federal No Surprises Help Desk at 1-800-985-3059.
Questions
Use the Contact section of this website for general questions. For a specific estimate, contact the scheduling or billing organization serving your state. A Good Faith Estimate does not determine insurance coverage or your final out-of-pocket responsibility when insurance is used.