No Surprises Act & Good Faith Estimates

The Hopeful Wildflower Counseling Services, PLLC

Your Rights Under the No Surprises Act

The No Surprises Act is a federal law designed to protect patients from certain unexpected medical bills and provide greater transparency about healthcare costs.

The law includes protections against certain forms of surprise balance billing and establishes rights for individuals who do not have health insurance or who choose not to use their insurance to pay for healthcare services.

Your Right to a Good Faith Estimate

If you do not have health insurance or choose not to use your insurance for counseling services, you generally have the right to receive a Good Faith Estimate of expected charges.

A Good Faith Estimate provides information about the anticipated costs of healthcare services before those services are provided.

You may request a Good Faith Estimate before scheduling an appointment. When services are scheduled at least three business days in advance, a written estimate generally must be provided within the timeframes established by federal law.

A Good Faith Estimate is not a bill and does not require you to receive services from the provider.

If Your Bill Is Higher Than Expected

If you receive a bill that is at least $400 more than the amount listed on your Good Faith Estimate, you may have the right to dispute the charges through the federal patient-provider dispute resolution process.

Additional eligibility requirements and deadlines apply.

Questions About Your Rights

For more information about your rights under the No Surprises Act, visit:

Centers for Medicare & Medicaid Services

https://www.cms.gov/nosurprises/consumers

No Surprises Help Desk

1-800-985-3059

For questions about the anticipated cost of counseling services or to request a Good Faith Estimate, please contact:

The Hopeful Wildflower Counseling Services, PLLC

Cynthia Carmack, LCSW

ccarmack@thehopefulwildflower.com

Please avoid including sensitive medical or mental health information in ordinary email. Existing clients should use the designated secure communication system for confidential matters.