No Surprises Act & Good Faith Estimate
You have the right to receive a "Good Faith Estimate" explaining how much your care will cost.
Your Right to a Good Faith Estimate
Under the federal No Surprises Act (effective January 1, 2022), health care providers must give patients who do not have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychiatric services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services, including psychiatric evaluation, medication management visits, psychotherapy, and related services such as recommended laboratory or genetic testing.
What This Means for You
- You may ask us for a Good Faith Estimate before you schedule a service, at any point during treatment, or both.
- If you are uninsured or self-pay, we will provide a Good Faith Estimate in writing at least 1 business day before your scheduled service (or within 3 business days for services scheduled at least 10 business days in advance).
- Make sure to save a copy or picture of your Good Faith Estimate.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill through the federal patient-provider dispute resolution process.
Questions or to Request an Estimate
Generations Mental Health and Wellness PLLC
Phone: (206) 923-8886
Email: info@…
For more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.