Your Rights

Emergencies

We are not a crisis center, and are unable to provide an outpatient or inpatient level of care. We are not an emergency service. We operate during standard Business Hours. For emergencies, please visit your nearest Emergency room, or dial 911 to contact law enforcement and medical services.

Confidentiality

Your therapist is one of the only people you can tell anything to. That’s right, anything! However, safety is your therapists #1 priority, and if you or anyone else is in danger, your therapist must report it. The limits of confidentiality that require a mandated report by your therapist are: intent to commit suicide, intent to commit homicide, child abuse, and elder or dependent abuse. There are a few other limits to confidentiality that you will be informed about at the start of therapy. You will receive a thorough record of the limits of confidentiality that your therapist will request that you sign before treatment begins. Always feel free to ask your therapist to remind you of the limitations if you have a concern, particularly in legal proceedings.

Good Faith Estimate

Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to create a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges. Note: The PHSA and the GFE does not apply currently to any clients who are using insurance benefits, including Out of Network Benefits (seeking reimbursement from your insurance companies).

The No Surprises Act

You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health 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 expected charges for medical services, including psychotherapy services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. This is just an estimate and as your therapist gathers more information about your symptoms and severity, your Good Faith Estimate may be revised to reflect this new information. Any time you’re Good Faith Estimate is revised it will be updated and stored in your client portal. You have the right to request an updated Good Faith Estimate at any time in your treatment.

You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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. Your Good Faith Estimates will always be kept up to date and accessible for you to download in your client portal.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

Disclaimer

This Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. Estimates are based on information known at the time the estimate is created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. Federal law allows you to dispute (appeal) the bill. If you are billed for more than this Good Faith Estimate, you have the right to dispute the bill. You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available. You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill. There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount. To learn more and get a form to start the process, go to www.cms.gov/nosurprises.

For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises