Your rights
Under the No Surprises Act, in effect since January 1, 2022, clients who are uninsured or not using insurance have the right to a written estimate of the expected cost of their care. It helps you understand what therapy will cost and avoid unexpected bills.
In writing
at least one business day before care
$400 or more
above your estimate can be disputed
Not a contract
our best estimate of your costs
Keep a copy
save it for your records
Your rights
Once you have scheduled with a specific therapist, we give you an individualized Good Faith Estimate for your care.
Your rights
You can get a written Good Faith Estimate at least one business day before your scheduled services, or when you ask while scheduling.
If you are billed $400 or more above your Good Faith Estimate, you can dispute the bill.
Save a copy of your Good Faith Estimate for your records.
What your estimate includes
Service descriptions: the services we recommend, such as an intake session and ongoing counseling.
Frequency and duration: typical session length and the estimated number of sessions.
Estimated costs: your per-session rate and the total for the recommended length of therapy, including any sliding-scale arrangement.
Optional or additional services: other approaches or workshops that might complement your treatment.
Your care
Our practice offers individual counseling and play therapy for a variety of issues and goals. Depending on your needs, we may recommend any of the services below.
Services we may recommend
Initial intake and assessment: a comprehensive assessment to set your treatment goals.
Ongoing counseling sessions: regular sessions, typically weekly or every other week, focused on your specific concerns and goals.
Additional or specialized services: if another form of therapy, an adjunct service or a community resource could help, we will talk it through with you.
If your estimate changes
The Good Faith Estimate is not a contract. It is our best assessment of your costs based on the information we have.
Actual charges may change if your treatment plan changes or if you ask for additional services.
If a bill is higher
If your billed charges are $400 or more above your Good Faith Estimate, you have two steps open to you.
1. Contact us
We are committed to working through any difference with you, so we can explain the charges or correct them.
2. File a dispute
You have the right to file a dispute with the U.S. Department of Health and Human Services. Visit cms.gov/nosurprises or call 1-800-985-3059 to learn more about your rights and protections.
Questions
Call or text 214.444.8079, or email info@layerscs.com. We are happy to walk you through it.
