Under the No Surprises Act, you have the right to receive a "Good Faith Estimate" explaining how much your medical and mental health care will cost.
Under the No Surprises Act, healthcare providers must give patients who don't have insurance or are not using insurance an estimate of the expected charges for medical services, including mental health services. You have the right to receive this estimate before your scheduled service or at the time of scheduling.
This means that if you are paying for your care out-of-pocket — whether you do not have insurance or you are choosing not to use your insurance for a particular service — The RISE Group Ministries is required to provide you with a Good Faith Estimate of what your care is expected to cost.
You can request a Good Faith Estimate from The RISE Group Ministries at any time, before or during your course of treatment. To request an estimate, contact our office and submit your request in writing. We will provide your Good Faith Estimate within the timeframe required by law.
When you request an estimate, we will review your anticipated services and provide you with an itemized estimate of expected charges. If you schedule a service at least 3 business days in advance, we will provide your estimate no later than 1 business day before your scheduled service. If you schedule a service at least 10 business days in advance, we will provide your estimate no later than 3 business days after scheduling.
The estimate will include the expected charges for scheduled services, including therapy sessions, group therapy, and other planned mental health services. It will describe the services you can expect to receive, the diagnosis codes if applicable, and the expected charges for each service.
It is an estimate — actual costs may differ based on your treatment needs. If your treatment plan changes or you require additional services beyond what was originally estimated, your final bill may differ from the Good Faith Estimate. We will make every effort to keep you informed of any changes to expected charges as your treatment progresses.
If your final bill is $400 or more above your Good Faith Estimate, you may dispute the bill. You must initiate the dispute within 120 calendar days of the date on the original bill.
This dispute process is designed to protect you from unexpected charges that significantly exceed what you were estimated to owe. If your bill exceeds your estimate but is less than $400 above it, you may still contact our billing office to discuss the charges, though the formal dispute resolution process described below applies only when the difference is $400 or more.
To dispute a bill, send a letter to The RISE Group Ministries requesting a dispute resolution. Your letter should include:
We have 30 days to respond to your dispute. We will review the charges and your estimate, and we will work with you to resolve the discrepancy. If we cannot resolve the dispute, you may choose to have the dispute independently reviewed by a third party selected by the U.S. Department of Health and Human Services.
This notice applies to self-pay and uninsured patients. If you are using insurance, your coverage and cost-sharing will be determined by your insurance plan, including your deductible, copayment, coinsurance, and out-of-pocket maximum.
If you have insurance but choose not to use it for a particular service — for example, to protect your privacy or because a service is not covered — the Good Faith Estimate process described above applies to you as well. We encourage all patients to understand their benefits and to contact our billing office with any questions about expected costs.
Questions about your Good Faith Estimate? Contact our billing office and we will be happy to help you understand your expected charges, request a new estimate, or address any billing concerns you may have.
The RISE Group Ministries is committed to transparent, accessible care. We believe that understanding the cost of your treatment is a fundamental right, and we are here to help you navigate the financial side of your care with clarity and respect.