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Your rights

Good faith estimate

Under the No Surprises Act, you have the right to receive a written Good Faith Estimate of the expected cost of non-emergency health care services if you do not have insurance or choose not to use it.

This page explains your rights. It is not an individual estimate of your costs.

What you can expect

You have the right to receive a written Good Faith Estimate of the total expected cost of services. You can request an estimate before scheduling services.

  • If you schedule care 3 to 9 business days ahead, you should receive your estimate within 1 business day after scheduling.
  • If you schedule care 10 or more business days ahead, you should receive your estimate within 3 business days after scheduling.
  • If you request an estimate before scheduling, you should receive it within 3 business days of your request.

Your estimate is based on the information available at the time and may change depending on your needs. Keep a copy for your records.

If your bill is higher than your estimate

If a provider's bill is at least $400 more than that provider's Good Faith Estimate, you have the right to dispute the bill.

Read the official CMS guidance on Good Faith Estimates.

Request an estimate

To request a Good Faith Estimate from Salazar Counseling or ask about costs, call or email the practice. Please avoid sending sensitive health information by ordinary email.

Call (360) 483-3303 Email salazarcounseling@proton.me
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