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Legal information

Good Faith Estimate Notice

Under the No Surprises Act, uninsured patients and patients paying without using insurance have the right to receive a written estimate of expected charges.

Effective date: October 28, 2026

On this page

  1. Your right to an estimate
  2. What the estimate covers
  3. If your bill is higher
  4. Requesting an estimate from Wisdom

Your right to an estimate

If you do not have insurance or are not using it to pay for care, you can request a Good Faith Estimate before scheduling. Providers must supply an estimate when care is scheduled at least three business days in advance, with delivery deadlines depending on how far ahead you schedule.

What the estimate covers

The estimate describes expected charges for scheduled care and related items or services within its scope. An estimate is not a guarantee of the final bill or a requirement to receive treatment. Unexpected care may carry additional charges.

If your bill is higher

You may qualify for a federal dispute process if a provider’s billed charges are at least $400 above that provider’s estimated charges. Generally, you must begin the process within 120 calendar days of the initial bill. Keep your written estimate and bills.

CMS information about estimates and disputes

Requesting an estimate from Wisdom

To request a Good Faith Estimate, contact the practice at (941) 384-1807 or info@wisdompsychwellness.com before your appointment. This notice does not state the practice’s fees or insurance participation.

CMS sample Good Faith Estimate notice

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Phone
(941) 384-1807
Email
info@wisdompsychwellness.com
Fax
(941) 384-1808
Location
Lakewood Ranch, Florida
Visits
Virtual/Telehealth Only at this time

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