Your Right to a Good Faith Estimate
Under the No Surprises Act (effective January 1, 2022)
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
What Is a Good Faith Estimate?
Under federal law, healthcare providers must give patients who are uninsured or who are not using insurance an estimate of the expected charges for medical services, including therapy sessions. This is called a Good Faith Estimate.
Our Standard Fees
Special Needs Solution operates as a self-pay practice. Our standard session rate is $150 per 60-minute session. Sessions are available in person at our South Miami or Key Biscayne offices, or via secure telehealth throughout Florida.
When You Will Receive an Estimate
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services.
- If you schedule a service at least 3 business days in advance, we will provide a Good Faith Estimate within 1 business day after scheduling.
- If you schedule a service at least 10 business days in advance, we will provide a Good Faith Estimate within 3 business days after scheduling.
- You may also request a Good Faith Estimate at any time, and we will provide one within 3 business days of your request.
What the Estimate Includes
Your Good Faith Estimate will include the expected charges for the services scheduled, the provider name, office location, applicable service codes, and any other items or services that are reasonably expected to be provided together with the scheduled service.
Important Information About Your Estimate
A Good Faith Estimate is not a contract and does not require you to obtain services from our practice.
The actual charges may differ from the Good Faith Estimate if your treatment plan changes or if additional services become clinically necessary. We will discuss any changes with you in advance.
Your Right to Dispute a Bill
If you receive a bill that is at least $400 more than your Good Faith Estimate, you may dispute the bill. You may contact the U.S. Department of Health and Human Services (HHS) at 1-800-985-3059 to learn more and get a form to start the patient-provider dispute resolution process.
Make sure to save a copy or picture of your Good Faith Estimate.
Questions or Requests
To request a Good Faith Estimate or if you have questions, contact us at 305-915-0818 or sloan@specialneedssolution.net. Visit cms.gov/nosurprises for more information about your rights under the No Surprises Act.