No Surprises Act
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No Surprises Act *
Under the law, health care providers are required to provide clients who are uninsured or not using insurance benefits with a Good Faith Estimate of expected charges for services.
You have the right to receive a Good Faith Estimate explaining the anticipated cost of your mental health care services.
What is a Good Faith Estimate?
A Good Faith Estimate is a written estimate of the expected costs of therapy services provided by Liminal Space Psychotherapy, PLLC. The estimate is based on information known at the time it is created and may include:
session fees
evaluation or consultation fees
frequency of services
other reasonably expected costs related to care
The estimate is not a contract and does not obligate you to begin treatment.
Who Receives a Good Faith Estimate?
You are entitled to receive a Good Faith Estimate if you:
are not using insurance benefits for services, or
are considered a self-pay client.
A Good Faith Estimate will be provided before services begin or upon request.
Your Rights
Under the No Surprises Act:
You have the right to receive a Good Faith Estimate for the total expected cost of services.
You may request an updated estimate at any time if your treatment needs or frequency of sessions change.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you may have the right to dispute the charges.
Additional information about your rights under the No Surprises Act is available through the:
Centers for Medicare & Medicaid Services
Questions or Requests
If you would like to request a Good Faith Estimate or have questions about fees or payment policies, please contact:
Liminal Space Psychotherapy, PLLC