Good Faith Estimate & No Surprises Act

Under the No Surprises Act, healthcare providers are required to provide clients who are uninsured or choosing not to use insurance with a Good Faith Estimate of expected charges for services.

Your Right to a Good Faith Estimate
You have the right to receive a written estimate explaining the anticipated cost of your mental health services before beginning treatment.

The Good Faith Estimate includes information about expected fees and services based on the information available at the time it is created.

Questions or Concerns
If you receive a bill that is substantially higher than your Good Faith Estimate, you have the right to dispute the charges.

For more information about your rights under the No Surprises Act, visit:
https://www.cms.gov/nosurprises

Requesting a Good Faith Estimate
If you are uninsured or choosing not to use insurance and would like a Good Faith Estimate before beginning services, please contact Empower & Embody Psychotherapy.

Bobbi Kelsey, MSW, LCSW
Empower & Embody Psychotherapy
support@empowerandembody.com

Virtual therapy services available in Oklahoma, Michigan, and Idaho.

@empowerandembodytherapy

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