Your right to a Good Faith Estimate
Goldenturas does not bill insurance, so every patient has the right to a written estimate of what their care will cost before it happens.
Effective and last updated
You have the right to receive a "Good Faith Estimate" explaining how much your health care will cost.
Under the No Surprises Act, health care providers must give patients who do not have insurance, or who are not using their insurance, an estimate of the cost of their care before it is provided. Goldenturas is a cash-pay practice and does not bill insurance, so this applies to everyone we see.
What the law says
This is the standard notice published by the Centers for Medicare & Medicaid Services:
You have the right to receive a "Good Faith Estimate" explaining how much your health care will cost
Under the law, health care providers need to give patients who don't have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.
- You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.
- If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/medical-bill-rights, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.
How to get your estimate from us
Ask, and we will put it in writing. You can request one:
- by email to care@goldenturas.com
- when you book, or at any point before your visit
- by asking during any conversation about cost
You do not have to be booked to ask. You can request an estimate before deciding whether to become a patient at all, and asking for one carries no obligation.
When you will get it
| When you book or ask | When the estimate is due |
|---|---|
| You book a visit 3 to 9 business days ahead | Within 1 business day of booking |
| You book a visit 10 or more business days ahead | Within 3 business days of booking |
| You ask for an estimate without booking | Within 3 business days of asking |
If a visit is booked fewer than 3 business days ahead, the law does not require an estimate for it. We will still talk you through the cost before you are charged.
If anything changes after an estimate is issued, you will get an updated one before the visit.
Your medication is billed by a pharmacy, not by us
This matters for understanding your total cost, so it is worth being plain about.
Where sublingual ketamine is part of your care, the medication is prepared, dispensed and billed by a separate compounding pharmacy. You pay that pharmacy directly. It is not part of what Goldenturas charges and it will not appear on an estimate from us.
Ask the pharmacy for their own estimate, and ask us if you are unsure who to ask. We would rather you had the whole picture before you start than be surprised by part of it later.
What an estimate covers
An estimate from us sets out the visits we reasonably expect your care to involve and what each will cost, written in a form you can keep. Where care runs on a regular schedule, a single estimate can cover a course of visits rather than being reissued each time.
An estimate is an estimate. It is our honest expectation at the time we write it, not a contract, and it does not oblige you to book anything or to stay with this practice.
If your bill is higher than your estimate
If you are billed at least $400 more than the estimate we gave you, you can dispute the bill through a federal process. Briefly:
- You start it within 120 calendar days of the date on the bill.
- There is a small administrative fee, set by the government rather than by us.
- You file through the federal dispute portal, and there is a step-by-step guide at cms.gov.
Disputing a bill will not affect your care. You will not be treated differently, and it will not change how we work with you. If something looks wrong on a bill, the simplest first step is usually to email us, because most billing questions turn out to be answerable directly.
Insurance and superbills
Goldenturas does not bill insurance and payment is due at the time of service. A superbill can be provided on request, which many patients submit to their own plan for possible out-of-network reimbursement.
Whether a plan reimburses anything, and how much, is between you and your insurer. We cannot promise an outcome there, and we will not pretend to.
Questions
Email care@goldenturas.com and ask. Questions about cost are normal and we would rather answer them early.
Questions about this page? Email care@goldenturas.com. In a mental health emergency, call 911, or call or text 988 for the Suicide and Crisis Lifeline.