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“No Surprises” Act
Effective January 1, 2022, laws regulating client care have been updated to include the “No Surprises” act, which requires a wide variety of providers to give current and potential future clients a “Good Faith Estimate” (GFE) on the cost of treatment. Below you will find a summary of this requirement.
Effective January 1, 2022, a provider must furnish a self-pay patient with the notice and GFE prior to all scheduled services or by request if the patient is shopping for care (and not yet at the point of scheduling). This includes, but is not limited to, office visits, therapy, diagnostic tests, infusions, and surgeries.
Who qualifies as a self-pay patient?
A provider's duty to provide notice and a GFE applies to self-pay patients, i.e., an individual who (1) does not have benefits for an item or service under a group health plan, group or individual health insurance coverage offered by a health insurance issuer, federal healthcare program, or a health benefits plan; or (2) chooses not to use his or her coverage benefit for the item or service.
In many ways, this protects patients from discovering that they owe a massive medical bill for un-covered services after the fact. However, therapy is a little different in that we canʼt necessarily provide an estimate of how long it takes to complete a treatment plan. There are a number of variables that make it nearly impossible to quantify what will be needed. And there is no way to give a “good faith estimate” on whether or not a client will want to return for services later on.
Good Faith Estimate Details:
New clients are required to begin with an intake appointment. Future appointments are scheduled on an as needed basis depending on client preference (i.e. weekly, biweekly, monthly). There is a sliding scale for qualifying clients as well.
Individual Client:
Intake appointment $150
Follow up (55 min) sessions $125
Client sees therapist weekly for 50 weeks $6,250.00
Client sees therapist every other week for 50 weeks $3,125.00
Client sees therapist every 4 weeks for 50 weeks $1,375
Sliding Scale: Apply if you may be eligible
The frequency with which clients are seen, and the duration of time in which they are seen, is dependent on client need. These figures are providing a good faith estimate based on typical scheduling requests. The above examples are for illustrative purposes only and are not specific to you or your treatment. Instead they are meant to show the possible variation of cost that could occur within a given year.
At The Renewing Oasis Therapy Practice, we are committed to protecting your privacy and maintaining the confidentiality of your personal and health information. This Privacy Policy outlines how we collect, use, and safeguard your information in compliance with applicable privacy laws, including the Health Insurance Portability and Accountability Act (HIPAA).
We may collect the following types of information:
How we use your information:
Your information is used for the following purposes:
Confidentiality and Disclosure
Your therapy records and communications are confidential. We will not share your information without your written consent except:
Your Rights
You have the right to:
Data Security
We implement appropriate administrative, physical, and technical safeguards to protect your information from unauthorized access, disclosure, or misuse.
Electronic Communication
If you choose to communicate with us via email, text, or telehealth platforms, please be aware that while we use secure systems, these methods may carry some risk. We will only use these methods with your consent.
Changes to this Policy
We may update this Privacy Policy periodically. Any changes will be posted on our website and available in-office.
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