THE NO SURPRISES ACT & YOUR RIGHT TO A GOOD FAITH ESTIMATE
Effective January 1, 2022, a ruling went into effect called the "No Surprises Act" which requires practitioners to provide a "Good Faith Estimate" about out-of-network care. Under Section 2799B-6 of the Public Health Service Act (PHSA), health care providers and health care facilities are required to inform individuals who are not enrolled in an insurance plan or a Federal health care program, or not seeking to file a claim with their plan, that upon request they are entitled to receive (both orally and in writing) a "Good Faith Estimate" of expected charges. Note: The PHSA and GFE does not currently apply to clients who are using insurance benefits, including "out of network benefits'' (i.e., submitting superbills to insurance for reimbursement).
For more information about the No Surprises Act, and your right to a Good Faith Estimate, visit https://www.cms.gov/nosurprises.