As of January 2022, under the "No Surprises Act," health care providers are required to provide patients who do not have insurance and / or who are not using insurance with an estimate of the bill for medical items and services.
Accordingly, you have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes all related costs like medical tests, prescription drugs, equipment, and hospital fees.
If you are not automatically provided with a Good Faith Estimate, ask your health care provider to provide one in writing at least 1 business day before your medical service. You may also ask your health care provider for a Good Faith Estimate before you schedule a care appointment.
If your provider becomes aware of additional clinical needs that would presumably change the original estimate, that should be discussed with patients as soon as feasible.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you may dispute the the bill.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call CMS at 1-800-985-3059.
In terms of California Pediatric Neuropsychology, rates are billed by hour and no insurance is accepted at this time. At the end of the evaluation, a "superbill" can be provided for patients/families to submit to their insurance, if they so choose. After phone consultation and a better understanding of clinical needs, California Pediatric Neuropsychology will provide patients with the best "good faith estimate" for services. Please note, this is subject to change based on clinical need. For example, if the clinical interview exceeds 1 hour or if the testing sessions need to be extended due to fatigue or other factors outside of the clinician's control, or if additional measures/tests are clinically indicated. If additional testing is being recommended, this will be discussed directly with the patient and/or financially responsible party, and a new Good Faith Estimate will be provided.
Notice to Consumers