Colorado Clients

24 hour notice is required if you need to cancel or reschedule an appointment.

There is a $100 cancellation fee for any cancellations or reschedules thereafter. No-show appointments result in the full fee of your appointment, based on self pay rates. Please note, insurance does not cover cancellation fees.

Please refer to the FAQS page for additional questions and information.

Your Rights and Protections Against Surprise Medical Bills

The No Surprises Act is a federal regulation, effective January 1, 2022, designed to protect consumers from unexpected health care costs. Under this law, providers must inform you of your rights and provide a "Good Faith Estimate" (GFE) of expected charges. This estimate is required if you are uninsured, choose not to use your insurance benefits for a service, or are seeing an out-of-network provider. This GFE must be provided both orally and in writing upon request or when you schedule your services. Please note that these specific GFE protections do not currently apply to patients using federal insurance plans or those using in-network insurance coverage.

Understanding Surprise and Balance Billing

"Balance billing" occurs when an out-of-network provider charges you for the difference between what your health plan paid and the total amount billed. Because these providers haven't signed a contract with your plan, these costs are often higher and may not count toward your out-of-pocket limits. "Surprise billing" is an unexpected balance bill that happens when you cannot control who is involved in your care, such as during an emergency or when an out-of-network provider treats you at an in-network facility.

When You Are Protected

Emergency Services: If you have an emergency medical condition, you are protected from balance billing, even if you are treated by an out-of-network provider or at an out-of-network facility. You are only responsible for the in-network cost-sharing amount (such as copays or deductibles) required by your health plan.

Services at In-Network Facilities: When you visit an in-network hospital or surgical center, you are protected from balance billing by certain out-of-network providers (such as anesthesiologists, radiologists, or pathologists). These providers cannot balance bill you and are not permitted to ask you to waive your protections.

When balance billing is prohibited, you are only responsible for the same cost-sharing amounts you would pay for an in-network service. Your health plan must cover emergency services from out-of-network providers without requiring prior authorization and must count these payments toward your annual deductible and out-of-pocket limits.

It is important to know that you always retain your protections against surprise or balance billing, and you are never required to waive these rights. Furthermore, you are not obligated to seek care from out-of-network providers. You maintain the right to select a provider or facility that is within your specific health plan’s network to ensure you receive the cost-sharing benefits outlined in your insurance policy.

Staying within your network is the most effective way to manage your out-of-pocket costs and avoid unexpected medical bills. If you are ever unsure whether a facility or an individual provider is covered under your plan, you can verify this through your insurance provider’s official directory or by contacting their member services department directly.

Note: A Good Faith Estimate is for your awareness only. It does not involve you needing to make any type of commitment.

For additional details regarding your rights or to learn more about the dispute process, please visit www.cms.gov/nosurprises or call 800-985-3059. If you believe you’ve been wrongly billed, you may contact Illinois Department of Professional Regulation at 888-473-4858 or idfpr.com