Notice of Your Right to a Good Faith Estimate

Under the No Surprises Act

The No Surprises Act was passed in December 2020 under Section 2799B-6 of the Public Health Service Act. This law aims to protect consumers and clients from "surprise" medical bills.

The Good Faith Estimate (GFE) provision of the No Surprises Act federally mandates that healthcare providers give clients an estimate of anticipated healthcare items and services. This provision took effect on January 1, 2022.

What is a Good Faith Estimate?

A Good Faith Estimate (GFE) is an estimate of the total expected costs of non-emergency healthcare items or services. It is designed to prevent clients from being surprised by unexpected bills or charges.

What is included:

  • This estimate includes your regularly scheduled therapy appointments.

  • The GFE will predict the cost of services 12 months in advance, providing a reasonable expectation of costs for one year.

What is NOT included:

  • This estimate does not include "no-show" fees, late cancellation fees, or any other incidental charges that cannot be predicted in advance.

How does this impact me?

  • Written Notice: Upon scheduling services at Everthrive Counseling, you will receive written notice of your rights under the No Surprises Act, along with a Good Faith Estimate of your projected bill for services.

  • Timeline: You have the right to receive your Good Faith Estimate in writing at least one business day before your scheduled healthcare service. If a service is scheduled at least 10 business days in advance, the GFE must be provided within three business days of scheduling.

  • Right to Dispute: You have the right to dispute a bill that substantially exceeds your Good Faith Estimate (defined as $400 or more above the estimate).

Additional Resources

For more information regarding your rights under the No Surprises Act or the Good Faith Estimate provision, please visit the official CMS website: https://www.cms.gov/nosurprises/consumers