GOOD FAITH ESTIMATE
At Navigate Wellness, we want to keep you informed about the "Good Faith Estimate," a component of the "No Surprises Act," which took effect on January 1, 2022.
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There’s currently significant debate about how this Act and the Good Faith Estimate should be applied in private mental health practices, especially for out-of-network providers like us. Some aspects of this legislation, such as requiring a diagnosis before starting services, don’t align with best practices in ethical mental health care. We believe in providing thoughtful, individualized care, and we’re committed to navigating these regulations in a way that upholds our values and supports your well-being.
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The government has released some FAQs (that can be found here) Navigate Wellness will continue to provide ethical and well-informed care to its clients as additional information is released about how this Act is to work in actual practice and who it applies to. Navigate Wellness will also continue to be transparent with our past, future, and prospective clients about our fee structure and payment, again as we always have been.
If you have questions about our fees or payment, please feel free to contact each of the providers directly, contact us at 262-365-9825 and we will get you the information.
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Our first goal is and always has been to provide exceptional and ethical mental health care to our clients, in a way that allows you to heal in the way that you want and need to.
The following is language from the government about client or patient rights under this Act:
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You have the right to receive a “Good Faith Estimate” explaining how much your medical 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 bill for medical items and services.
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You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
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Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
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If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
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Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059.