Right to Receive a Good Faith Estimate of Expected Charges

Under the federal No Surprises Act and Florida law, healthcare providers—including licensed mental health counselors—are required to provide patients who do not have insurance or who choose not to use insurance an estimate of expected charges for mental health and counseling services. You have the right to receive a written Good Faith Estimate (GFE) detailing the total anticipated cost of any non-emergency psychotherapy sessions, diagnostic assessments, or related clinical services prior to your care. You may request this estimate before scheduling an appointment, and if an appointment is booked at least three business days in advance, a written estimate must be provided within one business day (or within three business days if scheduled at least ten business days in advance). While this estimate reflects the costs reasonably expected based on the services discussed and does not obligate you to receive care from Nate Webster, you have the right to dispute your final bill through the federal Patient-Provider Dispute Resolution process if the actual billed amount exceeds your Good Faith Estimate by at least $400. Be sure to retain a copy or photo of your estimate, and for any questions regarding your consumer billing rights or the dispute process, you may visit www.cms.gov/nosurprises or call 1-800-985-3059.