Good Faith Estimate Statement for Starwood Chiropractic
At Starwood Chiropractic, we are dedicated to providing transparent and patient-centered care in compliance with the No Surprises Act, as referenced on the Centers for Medicare & Medicaid Services (CMS) website at https://www.cms.gov/nosurprises.
The No Surprises Act, effective January 1, 2022, aims to protect patients from unexpected and potentially costly medical bills, specifically related to out-of-network care. As part of our commitment to transparency and in compliance with this federal law, we provide the following Good Faith Estimate statement:
1. Cost Estimates for Services
Upon your request, we will provide you with a Good Faith Estimate for the expected cost of your chiropractic services. This estimate will outline the anticipated charges associated with your care, including but not limited to:
Chiropractic adjustments
Diagnostic tests or imaging
Therapeutic modalities
Consultations
Any other services related to your treatment
2. Coverage Verification
Before providing you with a Good Faith Estimate, we will also assist you in verifying your insurance coverage, if applicable. Our team will work with your insurance provider to determine the expected coverage and benefits to give you the most accurate estimate possible.
3. Transparency in Billing
We are committed to transparent billing practices. If you receive a bill that is higher than the estimated amount, we will not charge you the excess amount, as long as the services received match the services described in the estimate.
4. Your Right to Information
You have the right to receive a Good Faith Estimate, and it is your decision whether to proceed with the recommended care. You are not obligated to receive services or make payments based on the estimate alone. You may also choose to obtain estimates from other providers.
5. Contact Information
If you have questions, require a Good Faith Estimate, or need further assistance, please feel free to reach out to us using the following contact information:
Email: info@starwoodchiropractic.com
Phone: 972-377-3909
Address: 4851 Legacy Dr, Ste 307, Frisco TX 75034
We are committed to providing you with the information you need to make informed decisions about your healthcare and to ensure that you are not surprised by unexpected medical bills. Your trust in Starwood Chiropractic is important to us, and we are here to support you in your journey to improved health and well-being.
Thank you for choosing Starwood Chiropractic as your trusted healthcare provider.
