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Center for Emotional Health
Good Faith Estimate Policy

Your Right to a Good Faith Estimate

Under federal law, health care providers must give clients who do not have insurance—or who choose not to use insurance—an estimate of the expected cost of non-emergency health care services.

Center for Emotional Health is a self-pay counseling practice and does not bill insurance directly. The current fee for new clients is $130 per counseling session.

Your Right to an Estimate

If you are uninsured or do not intend to submit claims to your health insurance plan, you have the right to receive a written Good Faith Estimate explaining the expected cost of your counseling services.

You may request a Good Faith Estimate before scheduling, or you will receive one after scheduling when required by federal law.

If you request an estimate before scheduling, it will generally be provided within three business days.

When services are scheduled:

  • At least 10 business days in advance, the estimate will generally be provided within three business days after scheduling.

  • Between 3 and 9 business days in advance, the estimate will generally be provided within one business day after scheduling.

  • Fewer than 3 business days in advance, federal law may not require an estimate before the appointment, but you may still request one.

What the Estimate Includes

Your Good Faith Estimate will include the anticipated charge for each counseling session and an estimate of the expected total cost based on the information reasonably available when the estimate is prepared.

Because the appropriate frequency and duration of counseling cannot always be known in advance, the estimate may be based on an anticipated number of sessions over a defined period. The estimate is not a contract and does not require you to receive any particular number of sessions.

You may stop counseling at any time, subject to any applicable cancellation or outstanding-payment policies. You will be charged only for services actually provided and any fees permitted under the financial agreement.

If your treatment needs, session frequency, fees, or anticipated course of counseling change substantially, you may receive an updated Good Faith Estimate.

If Your Bill Is Higher Than Expected

Keep a copy of your Good Faith Estimate and compare it with your bills.

If the amount billed by Center for Emotional Health is $400 or more above the amount listed on your Good Faith Estimate, you may be eligible to use the federal patient-provider dispute resolution process.

You may also contact Center for Emotional Health first to ask about the bill or discuss any difference between the estimate and the amount charged.

For information about your rights or the dispute process:

Using the dispute process will not adversely affect the quality of care you receive.

Request an Estimate

To request a Good Faith Estimate or ask questions about counseling fees, contact:

Center for Emotional Health, LLC
330 Portland Street, Suite A
Celina, Ohio 45822
Phone: 567.644.8186
Email: admin@cntrnow.com

Please do not send sensitive health information by ordinary email.

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