Transparent Pricing
Your right to receive a Good Faith Estimate of expected costs under the federal No Surprises Act.
At Mindful Sewa Psychiatry, we are committed to providing transparent, high-quality mental healthcare. If you are uninsured or choose not to use your health insurance and instead pay for services out of pocket, federal law gives you the right to receive a Good Faith Estimate of the expected cost of your care before services are provided.
A Good Faith Estimate helps you understand the anticipated cost of your treatment, allowing you to make informed decisions about your healthcare.
You may receive a Good Faith Estimate if you:
Your Good Faith Estimate may include the expected cost of services such as:
The estimate is based on the information available at the time it is prepared and reflects the services reasonably expected for your care.
A Good Faith Estimate is not a contract and does not guarantee your final cost of care.
Your treatment needs may change over time. If additional services become medically necessary or your treatment plan changes, your final charges may differ from the original estimate. Whenever possible, we will discuss any anticipated changes with you before providing additional services.
Under the No Surprises Act, healthcare providers are required to provide a Good Faith Estimate to uninsured and self-pay patients for scheduled healthcare services.
If you receive a bill that is $400 or more above your Good Faith Estimate, you may have the right to dispute the charges through the federal patient-provider dispute resolution process.
We recommend keeping a copy of your Good Faith Estimate for your records.
For additional information about your rights under the No Surprises Act, please visit the Centers for Medicare & Medicaid Services (CMS) or contact the U.S. Department of Health and Human Services (HHS).
CMS: www.cms.gov/medical-bill-rights
HHS Help Desk: 1-800-985-3059
If you would like to receive a Good Faith Estimate before scheduling an appointment or have questions about our self-pay services, we are happy to assist you.
Mindful Sewa Psychiatry
Email: info@mindfulsewa.com
Web: www.mindfulsewa.com
Good to know
A Good Faith Estimate is a written estimate of the expected cost of your healthcare services before treatment begins. It helps uninsured and self-pay patients better understand and plan for the cost of their care.
You are eligible if you do not have health insurance or if you choose to pay for your services without using your insurance benefits.
A Good Faith Estimate is typically provided before your scheduled appointment or upon request, in accordance with applicable federal requirements.
No. It is an estimate based on the information available at the time it is prepared. If your treatment plan changes or additional medically necessary services are provided, your final charges may differ.
If your final bill is $400 or more above your Good Faith Estimate, you may have the right to dispute the charges through the federal patient-provider dispute resolution process established under the No Surprises Act.
Yes. We are happy to provide a Good Faith Estimate for our self-pay services before your first appointment whenever possible.
Mindful Sewa Psychiatry is a private-pay practice. If you wish to seek reimbursement from your insurance company, we may be able to provide a superbill upon request. Reimbursement is determined solely by your insurance carrier and is not guaranteed.
If you have questions about your Good Faith Estimate or our self-pay services, please contact us at info@mindfulsewa.com. We are committed to providing transparent pricing and helping you make informed decisions about your mental healthcare.
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