Good Faith Estimate Notice

The Federal “No Surprises Act” grants consumers the right to receive a “Good Faith Estimate” for the total expected cost of any non-emergency items or services.  Under the law, health 
care providers are required to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for treatment services. The act also requires healthcare providers to inform their patients of this right. You can ask your health care provider 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. For questions of more information about your right to a Good Faith Estimate, visit www.cms.gov/no surprises.

West Los Angeles Psychiatrist  and Therapist     
Michelle G. Ashley, M.D.
Diplomate, American Board of Psychiatry and Neurology

Se Habla Espanol
12304 Santa Monica Blvd. Suite 212 Los Angeles, CA 90025
(310) 582-5223