Your right to a Good Faith Estimate

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 must give patients who do not have insurance, or who are not using insurance, an estimate of the expected charges for medical services, including psychotherapy services.

What this means for you

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services, including related costs such as medical tests, prescription drugs, equipment, and hospital fees.
• Make sure your provider gives you a Good Faith Estimate in writing at least one business day before your service or item. You can also ask any provider for one before you schedule.
• 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.

How to request an estimate from Phoenix

Call us at (903) 300-1055 or email hello@phoenixbhw.com and ask for a Good Faith Estimate. If you are scheduling care with us, an estimate will be provided as part of your intake paperwork.

Questions or more information

For questions or more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises or call 1-800-985-3059.

This notice is provided in accordance with the No Surprises Act. It does not apply to organizational consulting or advisory engagements, which are governed by a separate written agreement.