A Good Faith Estimate is a document provided by healthcare providers to patients, offering a transparent estimate of the expected costs associated with a specific course of treatment. It is designed to help patients understand and anticipate the financial aspects of their healthcare services.
Why is a GFE Important for Therapy Services?
For individuals seeking therapy services and planning to use health insurance coverage, a GFE is crucial for understanding the potential out-of-pocket costs associated with therapy sessions. It outlines key details such as the estimated cost of each session, the insurance coverage, and the patient’s potential financial responsibility.
What Information is Included in a GFE for Therapy?
- Estimated Session Costs: The GFE provides an estimate of the cost for each therapy session. This includes the therapist’s fees, facility fees (if applicable), and any other associated costs.
- Insurance Coverage: The document outlines the portion of the therapy costs that is expected to be covered by the patient’s health insurance. This information helps individuals understand the extent of their coverage.
- Patient Responsibility: The GFE specifies the amount that the patient is anticipated to pay out of pocket for each therapy session. This includes deductibles, copayments, and coinsurance.
- Total Estimated Costs: The GFE provides a summary of the total estimated costs for the entire course of therapy. This is beneficial for patients to plan their budget and be aware of the financial commitment involved.
How to Use the GFE:
- Review with Your Insurance Provider: Patients are encouraged to review the GFE with their health insurance provider to ensure accuracy and to clarify any questions regarding coverage.
- Informed Decision-Making: Armed with the GFE, individuals can make informed decisions about their therapy options, considering both the quality of care and the financial aspects.
- Budgeting: The GFE helps patients budget for their healthcare expenses, allowing them to plan for potential out-of-pocket costs associated with therapy.
Commitment to Transparency:
We are committed to transparency in our billing practices. We provide Good Faith Estimates to all our patients seeking therapy services, ensuring that you have the information you need to make informed decisions about your mental health and well-being.
You have the right to receive a “good faith estimate” explaining how much your medical care will cost.
You will receive a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure you save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call Utah Insurance Department at (801) 957-9200.
For further details or to request a personalized Good Faith Estimate for your therapy sessions, please contact me directly.