No Surprises Act

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Shine Behavior Consulting is committed to transparency and helping families understand the cost of services. The information below explains your rights under the No Surprises Act, a federal law designed to protect individuals from unexpected medical bills.

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Your Right to a Good Faith Estimate

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You have the right to receive a Good Faith Estimate (GFE) of the expected cost of your behavioral health services.

A Good Faith Estimate:

• Is provided before services begin or upon request

• Includes an estimate of the total expected charges for non-emergency services

• Is based on the information known at the time the estimate is created

The Good Faith Estimate is not a contract and actual charges may vary if services change.

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What Could Cause Costs to Change?

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Final charges may differ from your Good Faith Estimate due to:

• Changes in the number, length, or type of sessions

• Additional services requested or clinically recommended

• Missed or late-canceled appointments

• Care coordination with schools or other providers

If your planned services change significantly, you may request an updated estimate.

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If You Are Billed More Than Expected

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If you receive a bill that is at least $400 more than your Good Faith Estimate, you may have the right to dispute the bill.

You can learn more about your rights or start the dispute process by contacting:

• U.S. Department of Health and Human Services (HHS)

• 1-800-985-3059

 

Questions?

If you have questions about the No Surprises Act or would like to request a Good Faith Estimate, please contact Shine Behavior Consulting. We are happy to support you in understanding your rights and your care.

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This notice is provided in accordance with the No Surprises Act (42 U.S.C. §300gg-111).