%204.svg){kind=small}
Good Faith Estimate
Notice required under the federal No Surprises Act
Effective Date: October 1, 2026
What Is a Good Faith Estimate?
If you don't have insurance, or you have insurance but are paying for your care yourself, you have the right to receive a Good Faith Estimate of what your care is expected to cost before you receive it.
A Good Faith Estimate is a written, itemized breakdown of the services you can reasonably expect to receive and what each is expected to cost. It is not a bill, and your actual charges may differ.
Who This Applies To
This right applies to you if:
- you don't have health insurance, or
- you have health insurance but are paying for your visits yourself rather than having a claim filed with your plan.
Visits billed to Medicare follow Medicare's own rules and are not covered by this notice.
What You Can Expect From Us
- If you schedule at least 3 business days in advance, we'll give you a Good Faith Estimate within 1 business day of scheduling.
- If you schedule at least 10 business days in advance, we'll give it to you within 3 business days.
- If you ask for an estimate before scheduling, we'll give it to you within 3 business days of your request.
- Your estimate will be in writing and in plain language. It will include the expected services, the related diagnosis and service codes, and the expected charges.
Your Right to Dispute a Bill
If your actual bill is $400 or more above your Good Faith Estimate, you have the right to dispute it. You can:
- contact us directly to ask us to review or correct the bill, or
- start a dispute with the U.S. Department of Health and Human Services within 120 calendar days of the date on your bill.
There is a $25 non-refundable fee to file a federal dispute. If the dispute is decided in your favor, the $25 is deducted from what you owe. An independent reviewer, not Vodic PT, decides the outcome.
Keep your estimate. Save a copy or take a picture of it. You will need it if you ever dispute a bill.
Questions?
Contact us at 201.771.2946 or ilija@vodicpt.com.
For more information about your rights under federal law, visit cms.gov/nosurprises or call 1-800-985-3059.