Effective Date: October 29, 2026
You have the right to receive a “Good Faith Estimate” explaining how much your care is expected to cost.
Under the No Surprises Act, health care providers are required to give patients who do not have certain types of health care coverage, or who are not utilizing certain types of health care coverage, an estimate of expected charges for items and services before those items or services are provided.
(a) You have the right to receive a Good Faith Estimate for the total expected cost of any item or service upon request or at the time of scheduling.
(b) If you schedule an item or service at least three (3) business days in advance, your Good Faith Estimate shall be provided in writing within one (1) business day of scheduling. If you schedule at least ten (10) business days in advance, your Good Faith Estimate shall be provided within three (3) business days of scheduling. You may also request a Good Faith Estimate prior to scheduling, in which case it shall be provided in writing within three (3) business days of your request.
(c) If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill.
For additional information regarding your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email [email protected], or call 1-800-985-3059. To request a Good Faith Estimate from Coastal Behavior Care, LLC, contact [email protected].