Good Faith Estimate

Under the No Surprises Act, individuals who do not have insurance or who choose not to use insurance have the right to receive an estimate of the expected cost of services.

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What Is a Good Faith Estimate?

A Good Faith Estimate is a written estimate of the total expected cost for counseling services provided by Healing Pathways Counseling. This estimate is based on the services reasonably expected to be provided and does not guarantee final charges.

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Your Rights

• You may request a Good Faith Estimate before scheduling services or at any point during your care.

• You will receive your estimate in writing:

  • At least 1 business day in advance if the service is scheduled within 3 business days

  • At least 3 business days in advance if the service is scheduled more than 10 business days away

• The estimate will include anticipated fees related to counseling services.

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Billing Protections

If you receive a bill that is $400 or more above the amount listed in your Good Faith Estimate, you have the right to dispute the bill through the federal patient-provider dispute resolution process.

We encourage you to keep a copy of your Good Faith Estimate for your records.

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For more information about your rights under the No Surprises Act, visit www.cms.gov/nosurprises or call 1-800-985-3059.

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If you have questions about fees or would like to request a Good Faith Estimate, please contact Healing Pathways Counseling and Consulting directly.

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