Good Faith Estimate

“Right To Receive A Good Faith Estimate Of Expected Charges” Under The No Surprises Act

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 do not 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.

• You can 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 the bill.

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FREQUENCY AND DURATION OF COUNSELING SERVICES

In general, sessions are offered twice monthly; however, if necessary, appointments can be made weekly. The total number of counseling sessions varies based upon the needs of each individual.

COMPLETION OF COUNSELING SERVICES

The decision to terminate counseling services is normally agreed upon by counselor and client. If the counselor or client believes counseling services are no longer beneficial, termination may be discussed at any time. Some clients achieve counseling goals in a short period of time, which may require no more than four to six sessions. It is not unusual, however, to continue services for a number of months or even years, based upon individual desires and needs.

COST OF COUNSELING SERVICES

The standard fee for clients who do not have insurance is $100 per session. If financial needs exist, an individual can request a reduced fee, which will be agreed upon with the counselor. Total cost for individuals without insurance attending sessions twice a month may be approximately $2,400 annually.

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For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call Tim Hayes at 806.470.1461.