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 the 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 800-985-3059.

Client Rights & Consumer Information

Access to Mental Health Records

Clients have the right to request access to their mental health records. To request a copy of your records, please submit a written request to this practice using one of the following methods:

  • Email: info@elizabethcruzcounseling.com

  • Phone: 972-433-0208

  • In writing: Requests may also be made during regular business hours

Requests are processed in accordance with applicable state and federal laws, including HIPAA and Texas regulations. Certain limitations may apply to mental health records as permitted by law.

Contact the Texas Health and Human Services Council

For questions regarding health care privacy or your rights under Texas law, you may contact the Texas Health and Human Services Council:

https://www.hhs.texas.gov/about/contact-us

Filing a Consumer Complaint

If you wish to file a consumer complaint, you may contact the Texas Office of the Attorney General, Consumer Protection Division: https://www.texasattorneygeneral.gov/consumer-protection/file-consumer-complaint

Questions

If you have questions about your rights, access to records, or billing, please contact this practice directly.