Good Faith Estimate Notice (No Surprises Act)
You have the right to receive a Good Faith Estimate of the expected cost of therapy services if you are uninsured or choosing to pay out of pocket, as required by the No Surprises Act.
A Good Faith Estimate outlines anticipated fees based on the information known at the time it is created. It is not a bill, and actual costs may vary if treatment needs change.
You may request a Good Faith Estimate at any time, or one will be provided when services are scheduled.
If you receive a bill that is $400 or more higher than your Good Faith Estimate, you may have the right to dispute the charges.
For more information, visit www.cms.gov/nosurprises or call 1-800-985-3059.