Good Faith Estimate

No Surprise Act and Ethical TherapY

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Navigating the No Surprises Act: Understanding Your Right to a Good Faith Estimate

In an effort to enhance transparency and protect consumers from unexpected medical bills, the No Surprises Act was implemented on January 1, 2022. This groundbreaking legislation marks a significant shift in how healthcare costs are communicated to patients, particularly those uninsured or choosing not to use their insurance for healthcare services. One of the key components of this act is the introduction of the Good Faith Estimate, designed to give individuals a clearer understanding of their potential healthcare expenses.

What is the Good Faith Estimate?

The Good Faith Estimate is a projection of the expected cost for medical services and items provided to you before your appointment or procedure. This estimate eliminates the element of surprise from medical billing, offering you a transparent view of your financial obligations.

Your Rights Under the No Surprises Act

Right to Inquire and Receive an Estimate: Before you book any non-emergency medical appointments, you have the legal right to request and be given a Good Faith Estimate. This ensures that you can make informed decisions about your healthcare based on the potential costs.

Timing of Receipt: You should receive this estimate in writing at least one business day before your scheduled service, giving you ample time to review and understand the expected charges.

Dispute Resolution: If your final bill exceeds your Good Faith Estimate by $400 or more, the No Surprises Act empowers you to dispute the bill. This provision is crucial for keeping billing practices fair and accountable.

Record Keeping: It’s advisable to keep a copy or take a picture of your Good Faith Estimate. This documentation will be invaluable if you need to reference your estimated costs or enter into a dispute about your bill.

Seeking Further Information and Assistance

Resources are available if you have questions about your rights to a Good Faith Estimate or the process for disputing a bill. For comprehensive details, visit www.cms.gov/nosurprises or contact the No Surprises Help Desk at 800-985-3059, which can offer guidance and support.

Also, we at A Path to Wellness are here to help with any questions about billing and payments for our services. Reach out to us at 336.604.5100 or via email at info@apathtowellness.com.

The No Surprises Act represents a pivotal advancement in patient rights and healthcare transparency. By familiarizing yourself with these provisions, especially the Good Faith Estimate, you can take a more active role in managing your healthcare finances, avoiding unexpected burdens, and ensuring that your wellness journey is informed and stress-free.