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Good Faith Estimate

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. 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.


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.

 

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute this bill. Make sure to save a copy or picture of your Good Faith Estimate.


For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call HHS at (800) 368-1019.

GFE
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Disclaimer

The information provided throughout our site is for educational and informational purposes only. It is not intended to replace professional evaluation or treatment for emotional and relational concerns. Using or seeking information from this website does not establish a therapeutic relationship between you and The Legacy Center, PLLC clinicians. A therapeutic relationship is not established until all intake paperwork has been completed. Therefore, any information you provide via this website is not privileged or confidential. By utilizing and visiting this website, you acknowledge and accept the risks of communicating via our unencrypted email, electronic messaging, and wish to continue despite those risks.

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Privacy Policy

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Consumer Information

Provided below is information for consumers on how to request health care records, contact the Texas Behavioral Health Executive Council, and file a consumer complaint in accordance with Texas law.

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Request Medical Records:

Copies of your health care records can be obtained with your written request.

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To request copies of your medical records, please request and submit an Authorization to Disclose Health Information Form through your client portal or by mail to Dr. Leah McCoy, clinical director. For general questions regarding medical records, please contact us at info@thepoweroflegacy.org. Please do not include any private health information in your email.

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Patient and Consumer Rights Concern:

If you are concerned that your rights have been violated, please contact Dr. Leah McCoy, Ed.D., LPC-S, NCC, Clinical Director by telephone at (832) 930-2716 or in writing to PO BOX 19711, SUGAR LAND, TX 77496. You may also contact the following resources:

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Texas Behavioral Health Executive Council:

https://bhec.texas.gov/contact-us/

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Office of the Texas Attorney General - Consumer Protection:

https://www.texasattorneygeneral.gov/consumer-protection

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