Under Section 2799B-6 of the Public Health Service Act www.cms.gov/nosurprises health care providers need to give clients who do not have insurance or who are not using insurance (self-pay) an estimate of the bill for medical items and services.

 

Clients have the right to:

• Receive a Good Faith Estimate (GFE) 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. You can also ask your health care provider for a Good Faith Estimate before you schedule a service.

• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

• 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 www.cms.gov/nosurprises.

 

Providers and facilities must:

• Provide the good faith estimate before item/service is schedule; within 3 business days of an appointment scheduled.

• If a good faith estimate is requested, it must be provided within 3 business days.

• Offer an itemized list of each item or service, grouped by the provider or facility offering care.

• Each item or service has to have specific details, like the health care code assigned to it and the expected charge.

• Explain the good faith estimate to client over the phone or in-person if client requests it, and then follow up with a written (paper or electronic) estimate.

​Healthcare providers are required to provide clients who do not have insurance or who choose not to use their insurance for therapy services with an estimate of the cost of those services. The total cost for each client will vary depending upon the length of time and frequency of sessions that occur throughout the therapeutic relationship as determined by the initial assessment and continued evaluation of treatment needs and progress. A detailed list of possible services is provided. This estimate will be valid for the next twelve (12) months. Should any fee changes occur, or upon your request, Jones Hill Counseling PLLC will provide you with a new good faith estimate. 
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The information provided here is for general informational purposes and not intended to serve as legal advice or opinion, call 1-877-696-6775 or visit: https://www.cms.gov/nosurprises/consumers/complaints-about-medical-billing for additional information.​