Good Faith
Estimate
Information
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If you don’t have insurance or are not using insurance 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 these patients an estimate of the bill for medical items and services.
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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.
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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 healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
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If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
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Make sure to save a copy or picture of your Good Faith Estimate.
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For questions or more information about your right to a Good Faith Estimate, visit
Balance Life Counseling PLLC:
At Balance Life Counseling PLLC:
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Services at Balance Life Counseling PLLC: all fees are understood at the time you start working with your counselor. They are discussed with you prior to starting services and a Good Faith Estimate will be given to you. You only pay for one session at a time.
In the course of your treatment, your therapist may recommend additional services (additional therapy sessions, psychiatry, group therapy, dietician services, primary care visits, etc). Costs associated with these additional services are not included in the above estimate. This good faith estimate is not a contract and does not obligate you to obtain services. You enter into therapy on your own volition and may leave treatment at any time.
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For In-Network clients with insurance:
The information above is primarily an estimate for out-of-network clients and clients wishing to private pay for services. If you have insurance we are happy to provide you with an estimate of your deductible (if applies), copay (flat fee) or coinsurance (percentage) amount. We have always done our best to provide this information before scheduling an initial appointment, and we will continue to do so. We will provide you with that information at the start of therapy, but if you need any clarification or want a formal written estimate of your fees based on your insurance coverage, feel free to email us at info@aboutbalancelife.com and we will be happy to provide that for you. Please note that if your insurance plan changes your costs may change as well. There are also times that Insurance companies tells us the wrong information about your coverage/costs (this is rare, but it does happen). In these cases, you may owe more than the estimate. We always encourage clients to verify their coverage with their insurance directly as well.
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