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Good Faith Estimate

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Good Faith Estimate

You have the right to receive a Good Faith Estimate explaining how much your mental health care may cost. Under the No Surprises Act, Allen Counseling Services must provide clients who do not have insurance (uninsured) or who will not be using insurance to pay or reimburse for services (self-pay) an estimate of the total expected costs for services. You can ask Allen Counseling Services up 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.

For more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.
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If you have any questions about how this affects your care, please reach out to me by calling 850-404-2650.

© 2022  Allen Counseling Services, LLC

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