Good Faith Estimate Notice
If you do not have health insurance or choose not to use your insurance for therapy, you have the right to receive a Good Faith Estimate of the expected cost of your care. Under the federal No Surprises Act, healthcare providers are required to provide uninsured and self-pay clients with an estimate of anticipated charges when services are scheduled in advance or when an estimate is requested.
Your Good Faith Estimate will help you understand what you can expect to pay for your therapy services. You may request an estimate before scheduling or at any time during your care. If the amount you are ultimately billed by a provider is $400 or more above the amount listed on your
Good Faith Estimate, you may have the right to dispute the bill through the federal patient-provider dispute resolution process.
We encourage you to keep a copy of your Good Faith Estimate for your records.
For additional information about your rights under the No Surprises Act, visit CMS.gov/medical-bill-rights or call the No Surprises Help Desk at 1-800-985-3059.