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 don’t have insurance or who are not using their insurance an estimate of the bill for medical items and services.

At Amadeus Counseling, I provide a Good Faith Estimate to every client so they can understand what the cost of services would be if services would be considered “out-of-network”. I verify insurance before I start therapy services so there is no suprise billing or out of network expenses. I believe in full transparency in billing. I will also work with 3rd party insurance billers such as Grow and Headway to give you your estimates of co-pays, the expected cost of each session, and your yearly deductible amount. I will get this information to you in writing at least one (1) business day before you start services so you can make an informed decision.

Rights Under the The No Suprises Act

• You have the right to receive a Good Faith Estimate 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 one (1) business day before your medical service or item. You can also 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.

• Make sure to save a copy or picture of your Good Faith Estimate.

Good Faith Estimates play a crucial role in promoting transparency and empowering patients to make more informed decisions about their healthcare. By providing patients with upfront information about the costs of medical services, healthcare providers enable individuals to plan for potential expenses and seek alternative options if needed. This transparency also helps patients compare costs between different providers and make choices that align with their budget and healthcare needs.

About The No Surprises Act and Good Faith Estimates

The No Surprises Act is a federal law that aims to protect consumers from unexpected medical bills that result from receiving care from out-of-network providers. This legislation addresses situations where patients unknowingly receive care from healthcare providers who are not in their insurance network, leading to hefty surprise bills. Under this act, healthcare providers are required to give patients a Good Faith Estimate before providing services. This estimate outlines the expected costs of medical care and helps patients understand what they may need to pay out of pocket.

Moreover, the implementation of the No Surprises Act and Good Faith Estimates fosters trust between healthcare providers and patients. By ensuring that billing practices are transparent and that patients are aware of potential costs before receiving care, this legislation helps minimize financial surprises and promotes a more equitable healthcare system. Patients can approach medical services with greater confidence, knowing that they have access to essential cost information upfront, thereby reducing the financial burden associated with unexpected medical bills.