Private Pay Information

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

This law is intended to reduce unexpected medical bills (for example your ER doctor is out of network with your insurance and you end up with a surprise bill). Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. Not to worry though, my costs are listed above and we will always discuss any changes.

Here is what you want to know under the new law:

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services

Make sure your healthcare provider gives you a Good Faith Estimate in writing at least 1 business day before your psychological service

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

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-877-696-6775.