The No Surprises Act (H.R. 133) requires providers to give their clients a Good Faith Estimate of the cost of care.

The No Surprises Act applies to all healthcare providers operating under a state-issued license or certification. Lynn Martin is required to comply with the No Surprises Act.

The No Surprises Act protects people from receiving surprise medical bills under a variety of circumstances. Please see this No Surprises Fact Sheet for more detail: https://www.cms.gov/newsroom/fact-sheets/no-surprises-understand-your-rights-against-surprise-medical-bills and CMS.gov/nosurprises.

The Good Faith Estimates are notifications of expected charges for therapy (or other services) that are reasonably anticipated to meet your mental healthcare needs within a calendar year. The estimate is based on information known at the time the estimate is created. The Good Faith Estimate does not include unknown or unexpected costs that may arise during treatment. You could be charged more if special circumstances occur.

If you are billed for more than you expect from your Good Faith Estimate, you have the right to understand the discrepancies and dispute the bill. Please contact Lynn Martin (martincbt@comcast.net) to let her know that the billed charges are higher than the Good Faith Estimate. You can ask for clarification, or dispute the bill.

If you are not able to resolve the situation to your satisfaction with Lynn Martin, directly, the U.S. Department of Health and Human Services offers dispute resolution assistance for $25: https://www.hhs.gov/guidance/document/no-surprises-acts-good-faith-estimates-and-patient-provider-dispute-resolution. If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.

If the agency reviewing your dispute agrees with you, you will have to pay the price of the Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider, you will have to pay the higher amount.

To learn more or to obtain a form to start the dispute process, go to www.cms.gov/nosurprises or call HHS at (800) 368-1019.