The No Surprise Act
The Federal No Surprises Act has created several new obligations for health care providers, facilities, plans and insurers that are intended to protect patients and clients from receiving unexpected or "surprise" medical bills that substantially exceed expected charges. These surprise billing protections take effect on January 1, 2022. One of the obligations under the No Surprise Act is for health care providers to provide all uninsured and self-pay patients/clients with a Good Faith Estimate of expected charges. Most of the surprise billing protections apply only to facilities such as hospitals outpatient hospital departments, critical access hospitals, or ambulatory surgical centers and air ambulance services and insurance companies.
The Good Faith Estimate requirements also take effect on January 1, 2022. Unlike other provisions of the No Surprises Act, the Good Faith Estimate applies to all health care providers regardless of facility type or in-network status. In general terms, the requirement is for all uninsured and self-pay clients to be provided a good faith estimate of the expected cost for the health care items and services offered. The "estimate" of your costs, is just that, an estimate. There are a number of factors that will impact the totality of cost such as cancellations, vacations, number of sessions needed (some need 50 or more sessions, others just need a "check in" of short term treatment). Under the Good Faith Estimate, you have the right to initiate patient/client - provider dispute resolution process if the charges you are billed substantially exceed expected charges in the estimate. This estimate of cost is not a contract and does not obligate you to obtain clinical services from me. Before our first session, you will need to print out this attached "Good Faith Estimate" form on this page. Review the document, print your name and Date of Birth, then scan this form and send it to me via my HIPPA secure email:
firstname.lastname@example.org. We will review this and other forms at our first session. Please let me know if you have any questions.