No Surprises Act & Good Faith Estimate

Under the federal No Surprises Act, which took effect January 1, 2022, healthcare providers must give clients who are uninsured or not using insurance a Good Faith Estimateof the expected cost of services.

Watermark Counseling KC is a private-pay practice and does not bill insurance, so every client has the right to receive a Good Faith Estimate.

What This Means for You

Therapy is personal, and the number of sessions you need depends on your goals and progress. You decide how long you want to be in therapy. Your Good Faith Estimate will be based on the expected number and frequency of sessions and my current fees, and I will review and update it with you as needed. An estimate can cover up to 12 months of services.

Free 15-minute consultations are provided at no cost.

Your Rights

You have the right to receive a Good Faith Estimate explaining how much your care will cost.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.
You will receive your Good Faith Estimate in writing:
- Within 1 business day of scheduling, if your first appointment is at least 3 business days away
- Within 3 business days of scheduling, if your first appointment is at least 10 business days away
- Within 3 business days of your request, if you ask for one before scheduling
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. You must start the dispute process within 120 days of the date on the bill.
Make sure to save a copy or picture of your Good Faith Estimate.

Questions

For questions about your Good Faith Estimate, please contact me at janet@watermarkcounselingkc.com or (913) 284-0472.

For more information about your rights under the No Surprises Act, visit www.cms.gov/nosurprises or call 1-800-985-3059.