Good Faith Estimate Disclosure
Balanced Therapy & Wellness Co, LLC
www.mybalancedtherapist.com
Pembroke Pines, FL 33025
info@mybalancedtherapist.com 954-399-3017
Effective Date: September 13, 2024
Your Right to a Good Faith Estimate
At Balanced Therapy & Wellness Co., LLC, we believe in transparent pricing for all our services. Under federal law, specifically the No Surprises Act and Florida-specific regulations, all clients can receive a “Good Faith Estimate” explaining the expected costs of non-emergency healthcare services.
What is a Good Faith Estimate?
A Good Faith Estimate is a detailed summary of the expected costs for therapy services you may receive from Balanced Therapy & Wellness Co., LLC. This estimate is provided in good faith to help you understand and plan for the potential financial obligations associated with your care.
When You Will Receive a Good Faith Estimate
You can receive a Good Faith Estimate for the total expected cost of non-emergency therapy or counseling services.
If you schedule services at least 3 business days in advance, a Good Faith Estimate will be provided in writing. You may also request a Good Faith Estimate before scheduling services.
This estimate will include an anticipated range of services and their costs based on our initial understanding of your treatment needs.
What to Expect in a Good Faith Estimate
Your Good Faith Estimate will detail:
Expected Therapy Services: Each service type (e.g., individual therapy and group sessions) will be outlined, including the estimated sessions and cost per session.
Total Estimated Cost: A summary of the expected total costs based on your treatment plan.
Updates and Changes: If there are changes to your treatment plan, you will receive an updated Good Faith Estimate reflecting those adjustments.
Your Rights Under Florida Law
In addition to the No Surprises Act, Florida law further supports your right to transparent and fair healthcare billing:
No Unexpected Charges: You won’t be charged more than the amount stated in your Good Faith Estimate unless there is a change in the treatment plan, which will be communicated to you in advance.
Updates for Any Cost Increases: Should additional or unexpected costs arise, we will inform you promptly and provide an updated estimate.
Dispute Resolution: If you receive a bill that exceeds your Good Faith Estimate, you have the right to dispute it.
How to Request a Good Faith Estimate
To request a Good Faith Estimate, please get in touch with us directly:
Email: info@mybalancedtherapist.com
Phone: 954-399-3017
Reach out, and we’ll be happy to estimate expected costs before you begin your therapy sessions.
Disclaimer
The Good Faith Estimate is a tool to help you anticipate costs. It is not a contract or a guarantee, and actual costs may vary depending on the services provided. Balanced Therapy & Wellness Co., LLC is committed to providing updated estimates if your care plan changes.
Additional Information
If you have questions about your right to a Good-Faith Estimate, please contact us or visit the official government site for further details on the No Surprises Act.
We are here to support your wellness journey with clarity and care