Under the No Surprise Act section of the Public Health Service Act, healthcare facilities and healthcare providers need to give patients who don’t have insurance or who are choosing not to use their insurance (including patients who are choosing not to file a claim with their insurance for an out of network provider via superbill) an estimate of the expected charges for medical services, including psychotherapy services, at the time of scheduling healthcare items and services - a Good Faith Estimate. As noted, though the Act was intended as consumer protection against unexpected/unauthorized hospital bills, it is written in such broad language as to potentially include behavioral health therapists and mental health therapists in private practice.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.
Your healthcare provider needs to give you a Good Faith Estimate in writing at least one (01) business day prior to your scheduled medical item or service. You may ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
This means that you are entitled to receive a Good Faith Estimate explaining your session fees and estimated/expected costs for assessment, evaluation, and/or psychotherapy prior to your first session. Accordingly, if we begin working together, you will receive a Good Faith Estimate in writing detailing your estimated/expected costs.
Because at Ēvolvere Psychology Incorporated services and rates are published and standardized, the Good Faith Estimate you receive will reflect the rates outlined in the Client Services and Rates Guide, adjusted as clinically appropriate based on the services anticipated. Assessment, evaluation, and psychotherapy services are individualized and may vary in frequency and duration based on clinical need. Your Good Faith Estimate reflects anticipated services at the time it is provided and may be updated if the scope of services changes; please let us know if you have any questions about your estimated/expected costs.
Please also note that as Ēvolvere Psychology Incorporated publishes our services and rates, is transparent about our services and rates prior to, during, and following scheduling, as well as through the time of service, and bills within (01) business day of completion of service, you should not receive a surprise bill from our practice.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you may dispute the bill. Save a copy or picture of your Good Faith Estimate.
For further information about your right to a Good Faith Estimate, as well as information about how to dispute a bill, you can visit the website of the United States Government.