Your Right to a Good Faith Estimate
Under the No Surprises Act, you have the right to receive a Good Faith Estimate explaining how much your medical and mental health care will likely cost. This estimate provides transparency and helps you avoid unexpected expenses.
You can request a Good Faith Estimate from Golden Coast Psychiatry & Wellness before starting services and at any time during your care. We are committed to providing clear, upfront information about your treatment costs to support informed decision-making for your health.
Right to Receive a Good Faith Estimate of Expected Charges
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. Outside Costs: This estimate only includes services provided directly by Golden Coast Psychiatry. It does not include costs for outside services you may incur, such as pharmacy prescriptions, laboratory tests (blood work), or services provided by other specialists.
We strive to be transparent and will provide this estimate prior to your first visit and you should make sure your health care 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.
Policy Details
A Good Faith Estimate will include anticipated charges for expected services, including psychotherapy and psychiatric evaluations. Additional fees may arise if your treatment plan changes, but you will be informed in advance whenever possible.
You are entitled to receive a Good Faith Estimate in writing at least one business day before your scheduled service. Estimates are valid for 12 months from the time issued, as required by law.
If you receive a bill that is $400 or more than your Good Faith Estimate, you can dispute the bill through the U.S. Department of Health & Human Services. For questions or to request a Good Faith Estimate, please contact our office. For more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.
