Good Faith Estimate Notice

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Reimagine Psychiatry
Notice of Right to Receive a Good Faith Estimate of
Expected Charges Under the No Surprises Act

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, healthcare providers need to give patients who don’t have insurance or who self-pay for their services an estimate of the bill for medical items and services (including psychiatry services).

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services, including psychiatry services.

Ensure your healthcare provider gives you a Good Faith Estimate in writing at least one business day before your services begin. You can also ask your healthcare 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 the U.S. Department of Health and Human Services

(HHS) at 1-800-985-3059.

Contact Info

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Sham Singh, M.D., Inc. d/b/a Reimagine Psychiatry owns and manages this Website. The information provided on this Website is not medical advice and should not be relied upon to treat any health condition. The Website is only for informational and educational purposes. Please contact your primary care provider to discuss your health concerns, diagnoses, or treatments. In a medical emergency, call 911.

Your website-related activities and communications do not create a provider-patient relationship between you and us and do not create a duty for us to follow up with you.

To learn about our services, please contact us directly at contact@reimaginepsychiatry.com

Good Faith Estimate Notice

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