Good Faith Estimates: Your Rights and Protections Against Surprise Medical Bills
What Is A Good Faith Estimate (GFE)?
A Good Faith Estimate (GFE) is an estimate of the expected costs for therapy services that a therapist provides to their client. It is typically provided to the client before they begin therapy, and it outlines the estimated cost of therapy sessions, including the therapist’s hourly rate, the number of sessions anticipated, and any additional fees that may apply.
The Good Faith Estimate is designed to help clients understand the potential costs associated with therapy and make an informed decision services.
YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS
(OMB Control Number: 0938-1401)
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. 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. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
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.
Visit https://www.cms.gov/files/document/model-disclosure-notice-patient-protections-against-surprise-billing-providers-facilities-health.pdf for more information about your rights under Federal law.