{"id":103,"date":"2026-09-03T14:58:28","date_gmt":"2026-09-03T14:58:28","guid":{"rendered":"https:\/\/center.antioch.edu\/ccpc\/?page_id=103"},"modified":"2026-11-03T17:35:54","modified_gmt":"2026-11-03T17:35:54","slug":"no-surprises-act-good-faith-estimate-notice","status":"publish","type":"page","link":"https:\/\/center.antioch.edu\/aus-clinic\/no-surprises-act-good-faith-estimate-notice\/","title":{"rendered":"No Surprises Act &amp; Good Faith Estimate Notice"},"content":{"rendered":"\n<div class=\"wp-block-genesis-blocks-gb-container alignfull gb-block-container\"><div class=\"gb-container-inside\"><div class=\"gb-container-image-wrap\"><img decoding=\"async\" class=\"gb-container-image has-background-dim-40 has-background-dim\" src=\"https:\/\/center.antioch.edu\/aus-clinic\/wp-content\/uploads\/sites\/10\/2026\/09\/Windows-FAQ-BG-scaled-e1790349909538.png\" alt=\"\" \/><\/div><div class=\"gb-container-content\">\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns alignwide aus-boxshadow is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:5%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div style=\"height:35px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"alignwide wp-block-paragraph\">You have the right to receive a &#8220;Good Faith Estimate&#8221; explaining how much your medical and mental health care will cost. Under the law, health care providers need to give patients who don&#8217;t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.<\/p>\n\n\n\n<div style=\"height:15px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:5%\"><\/div>\n<\/div>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:5%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:80%\">\n<p class=\"wp-block-paragraph\"><em>For questions or more information about your right to a Good Faith Estimate please contact:<\/em><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:8%\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:30%\"><\/div>\n\n\n\n<div class=\"wp-block-column aus-boxshadow has-background is-layout-flow wp-block-column-is-layout-flow\" style=\"background-color:#ffffff;flex-basis:35%\">\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center has-theme-secondary-color has-text-color has-link-color wp-elements-1\" style=\"text-transform:uppercase\"><strong>The Antioch Clinic<\/strong><\/h3>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong>206.268.4840<\/strong><br><strong><a href=\"mailto:clinic.aus@antioch.edu\" target=\"_blank\" rel=\"noopener nofollow\">clinic.aus@antioch.edu<\/a><\/strong><\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:5%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:3%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"alignwide wp-block-paragraph\">For additional information you can also visit:<br><a href=\"https:\/\/www.cms.gov\/nosurprises\/Ending-Surprise-Medical-Bills\" target=\"_blank\" rel=\"noopener\"><strong>www.cms.gov\/nosurprises\/Ending-Surprise-Medical-Bills<\/strong><\/a>&nbsp;or call <strong>1.800.985.3059<\/strong>.<\/p>\n\n\n\n<p class=\"alignwide wp-block-paragraph\">For information about your rights under Washington State law visit their website at:&nbsp;<a href=\"https:\/\/app.leg.wa.gov\/wac\/default.aspx?cite=284-43B-020\" target=\"_blank\" rel=\"noopener\"><strong>https:\/\/app.leg.wa.gov\/wac\/default.aspx?cite=284-43B-020<\/strong><\/a><\/p>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:37px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":11,"featured_media":1631,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/blocks.php","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"class_list":["post-103","page","type-page","status-publish","has-post-thumbnail","entry"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO Pro 5.0.5 - aioseo.com -->\n\t<meta name=\"description\" content=\"You have the right to receive a &quot;Good Faith Estimate&quot; explaining how much your medical and mental health care will cost. 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