Good Faith
Estimate
Good Faith Estimate (GFE) No Surprise Act
Your Rights and Protections Against Surprise Medical Bills
Under the No Surprises Act, effective January 1, 2022, all healthcare providers are required to provide patients who do not have insurance or are not using insurance an estimate of the cost of services, including therapy, with a Good Faith Estimate (GFE).
At Refocus Therapy Center, we are committed to transparency and providing you with all the information you need to make informed decisions about your care.
You have the right to receive a GFE explaining how much your mental health care services will cost.
At Refocus Therapy Center, we are committed to transparency and providing you with all the information you need to make informed decisions about your care.
You have the right to receive a GFE explaining how much your mental health care services will cost.
A Good Faith Estimate is a clear breakdown of the expected costs for your therapy services. This estimate includes the anticipated costs for the services you will receive during your treatment, allowing you to understand and plan for the financial aspect of your care.
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You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services.
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You can request a GFE before scheduling any service or at any point during your treatment.
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If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the charges.
Duration and Frequency of Treatment
There are many factors that determine the length and frequency of your treatment, as well as the type of services provided. These factors include your goals, availability, financial considerations, and the therapist’s ongoing assessment of your progress.
Below are examples to give you an idea of what the cost of therapy services might look like over time. Keep in mind, the actual frequency and duration of sessions depend on your individual needs and goals.
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Initial Intake sessions ($130): $130
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Weekly individual 55-minute sessions ($130) for 50 weeks (leaving 2 weeks off during the year): $6,500
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Biweekly individual 55-minute sessions ($130) for 25 weeks (leaving 2 weeks off during the year): $3,250
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Weekly Group ($65) for 12 weeks: $780
I will provide a Good Faith Estimate before your initial session or any other non-emergency services at least 72 hours in advance. If you schedule a service less than 72 hours in advance, you will receive a GFE as soon as possible.
What's Included in Your Estimate?
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The type of service you are receiving (e.g., individual therapy, couples therapy).
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The anticipated number of sessions (if known) and frequency.
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The expected costs for each service or session and estimated yearly cost.
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Any potential additional costs related to your care (e.g., assessments, reports).
Common Questions About GFE
How Does This Protect You?
GFE helps prevent surprise medical bills by ensuring that you are informed of the costs upfront. This is part of our commitment to ethical and transparent practices.
What Happens if the Actual Cost is Different?
While we do our best to provide an accurate estimate, the final cost of your services might differ depending on your unique needs or the length of your treatment. If there is a significant change in your treatment plan, we will notify you and provide an updated estimate.
How to Dispute a Bill?
If you receive a bill that is significantly higher than your Good Faith Estimate, you have the right to dispute the bill. For more information on how to file a dispute, visit the CMS website or contact us directly for assistance.
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