No Surprises Act

What is the No Surprises Act?

The No Surprises Act is a federal law that went into effect on January 1, 2022. It protects clients from unexpected medical bills and requires healthcare providers, including mental health professionals, to provide clear information about the cost of services.

Under this law, healthcare providers must give clients who are not using insurance (self-pay clients) a Good Faith Estimate of expected charges before services are provided. This estimate includes:

• The expected cost of services
• The frequency of sessions
• The duration of treatment
• Any additional fees or charges

You are entitled to receive a Good Faith Estimate if:

• You do not have health insurance
• You have insurance but choose not to use it for these services
• You are paying out-of-pocket for all or part of your care

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. You have 120 calendar days from the date on the bill to start the dispute resolution process.

For more information about your rights under the No Surprises Act, visit www.cms.gov/nosurprises or call 1-800-985-3059.