Rights and Protections Against Surprises
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GOOD FAITH ESTIMATES
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January 2022

My Policy Regarding Good Faith Estimates

I will provide Good Faith Estimates to all current clients on an annual basis, typically in your first session after the start of the new year.

I will provide Good Faith Estimates to all prospective new clients within three days after we have discussed my fees prior to scheduling the first appointment.


The No Surprises Act that goes into effect January 1, 2022 requires the following for providing Good Faith Estimates

Heathcare providers must provide a good faith estimate of expected charges for a scheduled or requested service, including services that are reasonably expected to be provided in conjunction with such scheduled or requested service. This estimate must be provided within specified timeframes:

  • If the service is scheduled at least three business days before the appointment date, no later than one business day after the date of scheduling;
 
  • If the service is scheduled at least 10 business days before the appointment date, no later than three business days after the date of scheduling; or
 
  • If the uninsured or self-pay patient requests a good faith estimate (without scheduling the service), no later than three business days after the date of the request. A new good faith estimate must be provided, within the specified timeframes if the patient reschedules the requested service.
 
  • If any information provided in the estimate changes, a new good faith estimate must be provided no later than 1 business day before the scheduled care. Also, if there is a change in the expected provider less than one business day before the scheduled care, the replacement provider must accept the original good faith estimate as their expected charges.