The No Surprises Act

The Public Health Service Act (commonly called the No Surprises Act/NSA) was enacted to protect the public against unexpected charges from their healthcare providers. This would happen sometimes when some portion of their bill was not covered by their insurance, and these out-of-network healthcare services could be unexpectedly burdensome. To fix this, the law requires healthcare providers to provide an estimate of expected charges—a Good Faith Estimate (GFE)—to any clients who do not have insurance or are not planning to be reimbursed through their insurance benefits. As a client of Kid Play Therapy, you are entitled to this Good Faith Estimate. I will always do my best to provide this Good Faith Estimate before your first scheduled appointment, but you always have the right to request this estimate from me at any time. The estimate is based on (1) the information you provide us and (2) my professional opinion on what is needed to assess or treat the mental health issue. The total estimated cost is the number of expected hours multiplied by the stated fees. 

Visit https://www.cms.gov/nosurprises/consumer-protections/Payment-disagreements for more information about your rights under federal law. Visit https://www.dfs.ny.gov/consumers/health_insurance/surprise_medical_billsfor more information about your rights under New York State law.

The effective date of this notice is January 1, 2022.