No Surprises Act

The No Surprises Act was passed to protect consumers from surprise medical bills. Most of the regulations apply only to emergency services, air ambulance services, and certain out-of-network providers, such as anesthesiologists, surgeons, and radiologists at in-network facilities. A part of the regulations that applies to all licensed health care providers requires providers to offer a good faith estimate of the cost of services to patients who pay cash.

At Renew Pelvic Health, the cost that you pay to schedule an appointment covers the full cost of the visit you schedule. This includes any assessment & evaluation, treatment, home exercise program, plan of care, and education you receive during that visit. If you cancel less than 24 hours before your appointment or do not show for your appointment no refund will be issued. We offer physical therapy products and other supplements in our office that you may choose to purchase at any time, but that is entirely up to you and is not required.

After the initial evaluation your physical therapist will be able to provide a suggested plan of care and let you know if additional visits are needed, based on your assessment and personal goals.

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/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.