Your Right To Recieve A Good Faith Estimate Notice
ATX Family Therapy PLLC is a private-pay practice and does not bill insurance. If you do not have health insurance, or if you have insurance but do not intend to use it for your services, you may have the right to receive a written Good Faith Estimate explaining the expected cost of your care.
Under federal law:
You have the right to receive a Good Faith Estimate for the total expected cost of your therapy services upon request or when scheduling services.
If you schedule services 3 to 9 business days in advance, ATX Family Therapy PLLC can provide the estimate in writing within 1 business day after scheduling.
If you schedule services at least 10 business days in advance, the estimate can be provided in writing within 3 business days after scheduling.
You may also request a Good Faith Estimate before scheduling services. The estimate will be provided in writing within 3 business days after your request.
For ongoing therapy, your estimate may include the expected frequency, number, and cost of sessions anticipated during a defined period of care.
The Good Faith Estimate is based on the information reasonably available when it is prepared. Your actual treatment needs, number of sessions, or total cost may change.
If ATX Family Therapy PLLC anticipates a meaningful change in the scope or cost of your care, you will receive an updated estimate when required.
If the amount billed by ATX Family Therapy PLLC is at least $400 more than the amount listed on your Good Faith Estimate, you may have the right to dispute the bill through the federal Patient-Provider Dispute Resolution process.
Keep a copy of your Good Faith Estimate so you can compare it with future bills.
To request a Good Faith Estimate, call ATX Family Therapy PLLC at (512) 434-0839 or contact your therapist through the secure client portal at atxfamilytherapy.sessionshealth.com.
For more information about Good Faith Estimates and your rights under the No Surprises Act, visit the CMS Medical Bill Rights website, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.
