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 insurance an estimate of the expected charges for medical items and services, including mental health care.
- 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 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.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.
How this works at Alfrey & Pruitt Counseling
If you are paying for counseling yourself (self-pay) or are not using insurance, we will give you a written Good Faith Estimate when you schedule, or any time you ask. Your estimate will list the type of services we expect to provide, the expected number of sessions, and the expected cost. You can request an estimate before scheduling by calling our office at (308) 675-2858 or emailing info@alfreyandpruittcounseling.com.
If you are using insurance, this notice does not apply, but our front office is happy to verify your benefits before your first appointment. See our insurance and payment information.