Your Right to Receive a Good Faith Estimate
Under the No Surprises Act, individuals who do not have health insurance or who are not using insurance to pay for their care have the right to receive a Good Faith Estimate explaining the expected cost of services.
If you are uninsured or plan to pay for therapy without using your health insurance, you may request a Good Faith Estimate before scheduling services. You will also receive a Good Faith Estimate when services are scheduled within the timeframes required by federal law.
A Good Faith Estimate will include the expected charges for the services reasonably anticipated for your care. Because the frequency and duration of psychotherapy can vary based on your individual needs, treatment recommendations, and preferences, your estimate will be based on the information available at the time it is prepared.
A Good Faith Estimate is not a contract and does not require you to receive services from this practice.
If your bill is higher than your estimate
If you receive a bill that is at least $400 more than the amount listed on your Good Faith Estimate from a provider, you may be eligible to dispute the bill through the federal patient-provider dispute resolution process. CMS
Keep a copy of your Good Faith Estimate and any bills or receipts you receive.
For questions about your Good Faith Estimate or the cost of services, please contact:
Staci Morey, LCSW
Email: hello@stacimoreylcsw.com
For more information about your rights under the No Surprises Act, visit the Centers for Medicare & Medicaid Services (CMS) website or call the No Surprises Help Desk at 1-800-985-3059.