Apple Psychological
(917)-526-0766 | 200 S Service Rd Suite 108 & 110A Roslyn Heights, NY 11577 | Boca Medical Plaza 7100 West Camino Real Suite 404 Boca Raton, FL 33433

Apple Psychological Good Faith Estimate

Under Section 2799B-6 of the Public Health Service Act, health care providers and healthcare facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.

 

  • You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
  • Under the law, healthcare providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services.
  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare 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 to 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

Apple Psychological

Boca Medical Plaza
7100 West Camino Real Suite 404
Boca Raton, FL 33433

200 S Service Rd Suite 108 & 110A
Roslyn Heights, NY 11577

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Roslyn Heights NY Phone: (917)-526-0766
Boca Raton FL Phone: (561) 220-0475
Fax: (516)-706-0737

Email: hello@applepsychological.com

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Good Faith Estimate