Good Faith Estimates or “GFE”

The federal No Surprises Act requires all healthcare providers, including psychiatrists and therapists, to notify uninsured and self-pay patients of their right to receive a good faith estimate (“GFE”) of expected charges upon request or upon scheduling an item or services.

Heartpoint Psychiatry and Wellness currently requires all patients to self-pay for services before treatment begins. This document serves as notice that Heartpoint Psychiatry and Wellness is required to provide you with a GFE of the expected cost of the items and/or services Heartpoint reasonably expects you to receive for treatment upon request or scheduling.

Providing a GFE is particularly challenging in mental health care because it is difficult to predict the duration and frequency of treatment and because patients have a right to decide how long they want to receive treatment. Therefore, please be aware that the GFE provided by Heartpoint Psychiatry and Wellness is based only on the information known by Heartpoint as of the date set forth in the GFE. We will provide you with an updated GFE in the event of any changes in the information or scope of the GFE. 

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.