Your Rights and Protections Against Surprise Medical Bills

As of January 1, 2022, under the federal No Surprises Act, you have the right to receive a "Good Faith Estimate" explaining how much your medical and mental health care will cost.

Right to a Good Faith Estimate

If you are uninsured or not using insurance for your services, you are entitled to receive a Good Faith Estimate of the expected charges for psychotherapy services.

> You have the right to receive this estimate in writing at least 1 business day before your first scheduled session.

> You may also request a Good Faith Estimate at any time, and one will be provided within 3

business days.

What is Included in a Good Faith Estimate?

Your estimate will include:

> The total expected cost of services, including session fees and frequency based on the treatment plan discussed.

> Any applicable administrative or service fees (if any).

You Have the Right to Dispute a Bill

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill through the U.S. Department of Health and Human Services.

> You must start the dispute process within 120 calendar days of receiving the bill.

> There is a $25 fee to use the dispute resolution process.

To Learn More

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

Becca Allen Counseling, PLLC is committed to transparency and ethical billing practices.

Contact Information

If you have any questions or concerns about fees, estimates, or your rights, please reach out to Becca Allen Counseling:

Email: [email protected]

Phone: 210-436-6555

Address: 4940 Broadway, Suite 223, San Antonio, Texas 78209

Website: https://www.beccaallencounseling.com