The federal "No Surprises Act" (NSA) went into effect on 1/1/2022. Under Section 2799B-6 of the Public Health Service Act, health care providers and facilities are required to inform individuals who are not enrolled in a plan of coverage or Federal health care program, or not seeking to file a claim with their plan both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a "Notice" and “Good Faith Estimate” (GFE) of expected charges. Please note: I provide an exact fee for services (i.e., not an estimate) prior to scheduling. I am an out-of-network provider and do not submit any paperwork, bills, or claims directly to insurers on behalf of patients. However, I provide extensive guidance on how to submit for reimbursement.
The NSA does not clearly specify whether provisions apply when a patient has health insurance, receives services from an out-of-network provider in a private practice setting, and intends to submit a claim to insurance for reimbursement. Until further guidance emerges, the Notice and GFE are provided below.
Welcome and thank you for your interest in my services. I generally have availability in approximately 3 months. Please send a message including details about your needs. Thank you.