
You may obtain a good-faith estimate of my charges upon request prior to scheduling with me.
Under the NSA, uninsured (or self-pay) individuals should receive a single, comprehensive good-faith estimate that includes expected charges for:
• The primary service (reason for your appointment) that I will provide to you.
• All services reasonably expected to be provided in conjunction with the primary item or service during a defined care period.
The No Surprises Act is a federal law that gives you the right to a good-faith estimate of the cost of services at my practice. However, Ohio licensing board rules require me to provide you with the actual cost of my charges in a written informed consent form, to which you must agree before I provide services. That will be available to you before you begin services and prior to any billing. In most cases, estimating how many sessions you will need is impossible, and that will not be determined until your concerns are evaluated. It will also vary based on your progress, which depends in part on your efforts with the process. You will be free to discontinue services at any time, or the services may otherwise be terminated in accordance with the informed consent form language.
For more information, please visit: https://www.cms.gov/nosurprises. If you have any questions, feel free to email me at Danielle@BalancedLifeandIntimacy.com.