Phone: 401-921-3600  Email: wildertherapy@protonmail.com

No Surprises Act Policy

The No Surprises Act protects you from surprise medical billing. You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost if you decide to see a provider who is not in network with your insurance.

According to  Section 2799B-6 of the Public Health Service Act, healthcare providers are required to inform individuals who do not have insurance or are not seeking to file a claim with their plan or coverage with a “Good Faith Estimate,” (GFE) of expected charges. This GFE should be present both orally and in writing at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.

Under the law, providers need to give patients who don’t have insurance or who are not using insurance to cover services an estimate of the expected charges for medical and psychotherapy services.

  • You have the right to receive a GFE for the total expected cost of any non-emergency items or services.
  • You can ask your health care provider, and any other provider you choose, for a GFE before you schedule a service.
  • If you receive a bill that is at least $400 more than your GFE, you can dispute the bill.
  • Make sure to save a copy of any GFE that you receive from a medical or psychological provider.


For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call (800) 368-1019