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OSU Couple and Family Therapy Clinic
College of Education and Human Ecology
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    • Premarital Therapy
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    • Standard Rates and Income Based Fee Structure
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Good Faith Estimate

Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

The OSU Couple and Family Therapy is happy to provide you with a Good Faith Estimate in writing at least 1 business day before your intake appointment. You can also ask us to provide you with a Good Faith Estimate before you schedule an initial appointment. To request a Good Faith Estimate please call us at 614-292-3671 or email us at cftclinic@osu.edu

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 http://www.cms.gov/nosurprises

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OSU Couple & Family Therapy Clinic

110 Bevis Hall
1080 Carmack Rd.
Columbus, OH 43210
PHONE: 614-292-3671
FAX: 614-292-6675

College of Education and Human Ecology

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