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Your rights

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your care will cost.

What a Good Faith Estimate is

Under the federal No Surprises Act, health care providers must give people who are uninsured or who are not using insurance an estimate of the expected charges for their care. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services, including psychotherapy.

How this applies here

Most clients use in-network insurance benefits. In those cases, your out-of-pocket cost is set by your insurance plan — typically a copay, coinsurance, or remaining deductible. If you are uninsured or choose not to use insurance, you are entitled to a Good Faith Estimate of your expected costs, and I’m glad to provide one — just ask.

Your rights

  • You can ask for a Good Faith Estimate before you schedule a service.
  • You should receive your Good Faith Estimate in writing at least one business day before your appointment.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Keep a copy of your Good Faith Estimate for your records.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059. You can also contact the practice at (406) 549-7325.

Raurie Birch Psychological Services
Missoula, Montana · (406) 549-7325
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