GOOD FAITH ESTIMATE

At Douglas Family Chiropractic, we are committed to transparency in your care and ensuring you are fully informed about the potential costs of our services. Under the No Surprises Act, you have the right to receive a Good Faith Estimate outlining the expected costs of non-emergency healthcare services.

Your Rights

You are entitled to:

Receive a written Good Faith Estimate at least three business days before your scheduled service or upon request.

Request an estimate for all services you are considering, including adjustments, examinations, and therapeutic interventions.

Challenge and dispute a bill that exceeds the Good Faith Estimate by more than $400.

What to Expect

Your estimate will include:

A detailed breakdown of services and costs.

Any additional fees that may apply.

Options for payment plans or prepayment discounts (if applicable).

If changes to your treatment plan occur, we will provide you with an updated estimate to ensure you remain informed.

How to Request a Good Faith Estimate

You can request an estimate:

By calling our office at (706) 555-1234.

We are happy to discuss your needs and provide clarity on the expected costs of your care.

Important Notes

The Good Faith Estimate is not a guarantee of final charges. Actual costs may vary based on the services rendered, unforeseen circumstances, or changes in your treatment plan.

The estimate does not include items or services not requested or anticipated during your consultation.

For more information on your rights, visit CMS No Surprises Act

At Douglas Family Chiropractic, your health and peace of mind are our priorities. Please feel free to reach out with any questions about your care or estimate.