GOOD FAITH ESTIMATE NOTICE
To our uninsured and Private Pay clients:
Starting January 2022 under the new law, if you do not have insurance or not using your insurance, you have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.
You have the right to ask and receive Good Faith Estimate of the total expected cost of any non-emergency healthcare services, including psychotherapy services.
You can ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.
For more information visit www.cms.gov/nosurprises.
For more information or a first time appointment phone: 650-363-0383 or email us.
For all inquiries
PHONE: (650) 363-0383
EMAIL: info@sequoiacounseling.com
© 2015 by Sequoia Counseling Services