Know your rights under the No Surprises Act
You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost.
Under federal law, health care providers must give patients who do not have certain types of health care coverage, or who are not using certain types of health care coverage, an estimate of their bill for health care items and services before those items or services are provided.
If you are an eligible uninsured or self-pay client, you may request a written Good Faith Estimate of the expected charges for your care through TrancePlan. You may request an estimate before deciding whether to schedule services.
When you will receive your estimate
- Before scheduling: If you request an estimate before scheduling services, you will receive it within 3 business days of your request.
- Appointments scheduled 3–9 business days in advance: You will receive your estimate within 1 business day after scheduling.
- Appointments scheduled 10 or more business days in advance: You will receive your estimate within 3 business days after scheduling.
Your estimate will be provided in writing, on paper or electronically, according to your preferred method of delivery. Keep a copy or photograph of it to compare with any bills you receive.
If your bill exceeds your estimate
If you receive a bill from a provider or facility that is at least $400 more than the Good Faith Estimate from that provider or facility, you can dispute the bill through the federal patient-provider dispute resolution process.
Request a Good Faith Estimate
To request an estimate or ask questions about TrancePlan’s fees, contact Susan Razavi at susanjrazavi@gmail.com. Please include only the administrative information needed for your request and do not include sensitive clinical details.
Learn more
For questions or more information about your right to a Good Faith Estimate, visit the CMS No Surprises consumer website, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.