You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost

 

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

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• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

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• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

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• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

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• Make sure to save a copy or picture of your Good Faith Estimate.

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For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 303-894-7490 or 1-800-930-3745.

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Dr. Simon's fee-for-service cost structure is as follows.  All fees for service are pro-rated for any time above or below the stated fees:

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• Individual Adults: $185/45 minutes (M-F, 8am-5:30pm HST).

       Individual sessions are 45 minutes unless otherwise agreed upon.

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• Couples:  $245/60 minutes (M-F, 8am-5:30pm HST).

       Couples sessions are 60 minutes unless otherwise agreed upon.

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• Phone Consults: $185/45  minutes (M-F, 8am-5:30pm HST).

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• Clinical and Professional Consultative Services:  $185/45  minutes  (M-F, 8am-5:30pm HST).

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• Emergency or After-Hours Consultations: $450/45  minutes (5:30pm to 8am HST, all hours Sat & Sun).

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• If a report, letter or consultation with an outside party is requested, you will be billed for any time needed to prepare documentation, or to conduct an in-person or phone consultation.  Dr. Simon’s standard service fee (detailed above) apply.