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No Surprises Act Disclosure

All healthcare providers in the United States are legally obligated to post the following information on their website and in their physical office and are required to give clients who are uninsured or are not using insurance (i.e., self-pay) an estimate of the bill for medical items and services.

Under Section 2799B-6 of the Public Health Service Act, healthcare providers and healthcare facilities are required to inform individuals, who are not enrolled in a plan or coverage or a Federal healthcare program, or not seeking to file a claim with their plan or coverage, both orally and in writing of their ability, upon request or at the time of scheduling healthcare items and services, to receive a “Good Faith Estimate” (GFE) of expected charges.

The "Good Faith Estimate" shows the cost of items and services that are reasonably expected for your healthcare needs.  Every healthcare consumer now has the legal right to receive a Good Faith Estimate for services before treatment begins.  The estimate is based on information known at the time the estimate was created and can be mutually amended to best fit the course of treatment.

 

Adaptive Resolutions Counseling Services does not offer crisis or emergency services. 

 

Your Rights Under the "No Surprises Act"

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

  • Make sure your healthcare provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or 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 questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises

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