Under the federal No Surprises Act, patients who do not have insurance, or who are not using insurance, have the right to receive a written Good Faith Estimate of the expected charges for scheduled or requested health care services. Northeast Texas Psychiatry is a self-pay practice, so this right applies to every patient we see.
A Good Faith Estimate is a written, itemized estimate of the charges you can reasonably expect for the psychiatric services you schedule or request from this practice. It lists the expected services, the expected charge for each, and the clinician expected to provide them. It is provided free of charge.
Northeast Texas Psychiatry publishes its visit fees: $350 for an initial psychiatric evaluation and $150 for a follow-up appointment. Your Good Faith Estimate will reflect these posted fees for the services you are scheduled to receive. Full details are on the Services & Fees page.
Services provided by other businesses are billed separately by those providers and are not included in this practice's estimate. Examples include laboratory testing ordered as part of your care, medications filled at a pharmacy, and psychotherapy provided by a community therapist we refer you to.
For ongoing care, a single estimate may describe the expected course of treatment, such as the expected frequency and number of follow-up visits, for up to 12 months. A new estimate is provided if care continues beyond that period or the expected course of care changes.
To request an estimate, call (903) 509-0999 or email [email protected].
If you receive a bill from this practice that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill through the federal patient–provider dispute resolution process. A dispute must generally be started within 120 calendar days of the date on the bill.
For more information about your right to a Good Faith Estimate and how the dispute process works, visit www.cms.gov/nosurprises or call 1-800-985-3059.
Make sure to save a copy or picture of your Good Faith Estimate. An estimate is not a contract and does not require you to receive the services listed, but it is the document the federal dispute process compares your bill against.
