Your right to a Good Faith Estimate
Under a federal law called the No Surprises Act, because I am a private-pay practice and do not bill insurance, you have the right to receive a Good Faith Estimate of the expected charges for your care. This notice is here so you know that right exists.
How to get one
- If you schedule counseling with me, I will give you a written estimate before your first appointment.
- If you would like an estimate before you decide whether to schedule, just ask by phone or email. I will send it in writing within 3 business days.
- If you simply ask me what counseling will cost, I will treat that as a request for an estimate.
What the estimate means
The estimate is a written statement of the charges I expect for the counseling services we discuss. It is only an estimate. Your actual charges may differ if your needs change, for example if you attend more or fewer sessions than expected. It is not a contract, and you are not required to receive counseling from me because you asked for an estimate.
If your bill is higher than expected
If you are billed substantially more than the amount in your Good Faith Estimate, you have the right to dispute the bill through a federal process. Keep a copy of your estimate in case you need it. To learn more about your rights and how the dispute process works, visit cms.gov/nosurprises.
Ask for an estimate
Call 806-786-9252 or email [email protected]. You can also read about fees and payment.