Good Faith Estimate

Draft, pending legal & billing review: this page was drafted from a standard No Surprises Act disclosure template and has not yet been reviewed by an attorney or billing specialist. Replace this notice once ReNeu’s counsel has confirmed the final text and the estimate delivery process matches the actual office workflow.

Your Right to a Good Faith Estimate

Under Section 2799B-6 of the Public Health Service Act (part of the federal No Surprises Act), health care providers must give a Good Faith Estimate of expected charges to patients who don’t have insurance, or who aren’t planning to use their insurance to pay for their care. This applies to you if you’re uninsured or choose to pay out of pocket at ReNeu Physical Therapy and Performance.

What Is a Good Faith Estimate?

A Good Faith Estimate is a written notice of the expected cost of your physical therapy care, based on the information available to us when the estimate is prepared, such as your reason for visiting, the services we anticipate providing, and your evaluation and treatment plan once that’s established. It is an estimate, not a bill, and not a guarantee of your final cost. Your actual plan of care, and its cost, may change as your evaluation and treatment progress and your therapist learns more about what you need.

Who Gets One, and When

You have the right to receive a Good Faith Estimate any time you schedule an appointment, or any time you ask for one, even if you haven’t scheduled anything yet. If your appointment is scheduled at least three business days out, we’ll provide your estimate no later than one business day before your appointment. If it’s scheduled at least ten business days out, you’ll receive it no later than three business days beforehand. If you request an estimate without scheduling an appointment, we’ll provide it within three business days of your request.

If Your Bill Is Higher Than Your Estimate

If the amount you’re actually billed is at least $400 more than your Good Faith Estimate for the same provider, you have the right to dispute the bill. You can start a dispute by contacting the U.S. Department of Health and Human Services’ Patient-Provider Dispute Resolution process within 120 calendar days of the date on your original bill. Disputing a bill will not affect the quality of care you receive from us.

How to Request Your Estimate

To request a Good Faith Estimate, call us at (720) 324-7113, email andrew@reneu-pt.com, or ask your therapist directly at any point in your care. You’re entitled to a new estimate whenever your plan of care changes significantly, or simply whenever you’d like an updated one.

Learn More

For more information about your rights under the No Surprises Act, including how to start a payment dispute, visit cms.gov/nosurprises or call the No Surprises Help Desk at 1-800-985-3059.