Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost. Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.

You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services.

If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.

If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate and the bill. 

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.

PRIVACY ACT STATEMENT: 

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CMS is authorized to collect the information on this form and any supporting documentation under section 2799B-7 of the Public Health Service Act, as added by section 112 of the No Surprises Act, title I of Division BB of the Consolidated Appropriations Act, 2021 (Pub. L. 116-260). We need the information on the form to process your request to initiate a payment dispute, verify the eligibility of your dispute for the PPDR process, and to determine whether any conflict of interest exists with the independent dispute resolution entity selected to decide your dispute. The information may also be used to: (1) support a decision on your dispute; (2) support the ongoing operation and oversight of the PPDR program; (3) evaluate selected IDR entity’s compliance with program rules. Providing the requested information is voluntary. But failing to provide it may delay or prevent processing of your dispute, or it could cause your dispute to be decided in favor of the provider or facility.

Your Rights as a Client

Your safety, dignity, and autonomy are important. Texas law requires that I share the following information so you are aware of your rights and the options available to you as a consumer of mental health services.

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Accessing Your Health Care Records

You have the right to request access to your health care records at any time. If you would like to request your records, you may submit a written request by email to me at counselingandcoachingwellness@gmail.com.  Requests are handled with care and in accordance with state and federal laws. If you have questions or would like support with this process, please feel free to reach out—I am happy to help.

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Contacting the Texas Behavioral Health Executive Council

If you would like additional information about professional licensure or the regulation of behavioral health providers in Texas, you may contact the Texas Behavioral Health Executive Council (BHEC). Their Contact Us page includes phone numbers, email addresses, and mailing information should you wish to connect with them: https://bhec.texas.gov/contact-us/.

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Sharing Concerns or Filing a Complaint

If at any point you have concerns about your care or believe your rights have not been respected, I request that you first discuss this with me. If you are not satisfied, you have the option to file a consumer complaint with the Office of the Texas Attorney General’s Consumer Protection Division. Information and instructions for submitting a complaint are available on the Attorney General’s Consumer Protection webpage and can be found here: https://bhec.texas.gov/complaints-enforcement-faqs/.