No Surprises Act Disclosure

Under Section 2799B-6 of the Public Health Service Act, you have the right to receive a Good Faith Estimate explaining how much your medical and mental health care will cost.

Your Rights

If you are uninsured or choose not to use your health insurance, we will provide you with a Good Faith Estimate of the expected charges for therapy services before your scheduled service. This estimate will outline the anticipated costs for services reasonably expected at the time. Please note that your actual charges may differ if your treatment needs change.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill. Be 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 or call 1-800-985-3059.