Good Faith Estimate
In accordance with the Centers for Medicare and Medicaid (CMS), you are entitled to a Good Faith Estimate of all services provided. All rates for payment are posted on this website, will be reviewed with you prior to payment, and you will receive an invoice through your Client Portal on Simple Practice. Rates are subject to change and all Clients will be notified in advance of this change in accordance with CMS.
CMS states, “Beginning January 1, 2022, if you’re uninsured or don’t plan to submit your claim to your health plan, health care providers and facilities must provide you with a ‘good faith estimate’ of expected charges before you get an item or service. The good faith estimate isn’t a bill.
Providers and facilities must give you a good faith estimate if you ask for one, or when you schedule an item or service. It should include expected charges for the primary item or service you’re getting, and any other items or services provided as part of the same scheduled experience.”
“Providers and facilities must give you:
Your good faith estimate before an item or service is provided, within certain timeframes.
An itemized list with specific details and expected charges for items and services related to your care.
Your good faith estimate in writing (paper or electronic). Note: A provider or facility can discuss the information included in the estimate over the phone or in person if you ask.
Your estimate in a way that’s accessible to you.”
“Once you get your good faith estimate from your provider or facility, keep it in a safe place so you can compare it to bills you get later.
If you get the bill and the charges are at least $400 above the good faith estimate, you may be eligible to start a patient-provider dispute.”
Click here to find out more: Understanding costs in advance | CMS