Effective January 1, 2022, under the No Surprises Act, healthcare providers and facilities are required to provide a Good Faith Estimate of expected charges to individuals who are uninsured or who choose to self-pay (do not submit claims to insurance).
Daybreak Counseling Inc. is committed to transparency in healthcare pricing and honoring your rights under this law.
A Good Faith Estimate is an estimate of the costs you may expect to pay for mental health services before receiving care.
This estimate must be provided:
After you schedule a service or appointment, and/or
Upon your request
The estimate includes:
The expected cost of the primary service (such as an intake session or therapy session)
Any additional services that are reasonably expected to be provided during the same appointment
An itemized list of services and estimated charges
The estimate does not guarantee final costs and may change based on clinical needs, session length, or services added during care.
If you are:
Uninsured, or
Choosing to self-pay without submitting claims to insurance
You have the right to receive a Good Faith Estimate for your mental health services at Daybreak Counseling Inc.
If you schedule an initial intake session, your Good Faith Estimate may include:
The intake appointment fee
Any associated assessment services expected during that visit
If additional sessions, assessments, or services are recommended later, those may not be included in the original estimate and may require a new estimate.
We will provide:
A Good Faith Estimate before services occur, within required federal timeframes
An itemized list of services, grouped by provider or facility, including service codes and estimated charges
An explanation of your estimate upon request, either verbally or in writing (electronic or paper)
Once you receive your Good Faith Estimate:
Keep it for your records
Use it to compare with future bills
Reference it if you believe charges exceed the estimate beyond allowed thresholds
If you receive a bill that is $400 or more above your Good Faith Estimate for the same service or item, you may be eligible to initiate the patient-provider dispute resolution process.
Information about this process is available through the U.S. Department of Health and Human Services.
Beginning in 2022, insurance plans are required to include pricing and coverage information on insurance ID cards, including:
Applicable deductibles
Out-of-pocket maximums
A phone number and website for additional information
Your insurance provider may also offer details through:
A digital ID card
A QR code
Their member portal
To request a Good Faith Estimate or ask questions about pricing, please contact:
Daybreak Counseling Inc.
admin@daybreakcounselinginc.com
