Standard Notice: “Right to Receive a Good Faith Estimate of Expected Charges” Under the No Surprises Act

You are entitled to receive a "Good Faith Estimate" detailing the anticipated cost of your medical care. According to the law, healthcare providers must provide patients without insurance or those not using it with an estimate of the expenses for medical services and items.

- You have the right to obtain a Good Faith Estimate for the total projected expense of any non-emergency services or items, encompassing associated costs like medical tests, prescription drugs, equipment, and hospital fees.

- Ensure that your healthcare provider furnishes you with a written Good Faith Estimate at least one business day before your scheduled medical service or item. You may also request a Good Faith Estimate from your healthcare provider, as well as any other provider you select, prior to scheduling a service or item.

- In case you receive a bill that exceeds your Good Faith Estimate by at least $400, you have the option to contest the bill.

- It is advised to retain a copy or image of your Good Faith Estimate. For inquiries or additional information regarding your entitlement to a Good Faith Estimate, please visit www.cms.gov/nosurprises  or contact our office at 480-719-7400.

Please call to discuss the current fee schedule for services

Active Healing Psychiatric Services LLC| 480-719-7400| michaela.beaver@activehealingpsych.com