Good Faith Estimate

 You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health 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 expected charges for medical services, including psychotherapy services.

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

You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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.

LOCATION

1. FROM SAN JOSE, FREMONT, SANTA CLARA: HWY 280 or 101 to HWY 880/17 South from 17S; take the CAMDEN AVE. exit, TURN LEFT onto CAMDEN, go to 2nd traffic light TURN RIGHT onto BASCOM AVE.  Turn left onto SAMARITAN DR.,  and turn left at 2505 SAMARITAN Dr, SUITE 303.

2. FROM PALO ALTO, SUNNYVALE, CUPERTINO : HWY 85 South towards Gilroy; Take the LOS GATOS/ BASCOM AVE EXIT (Exit 10) TURN RIGHT onto LOS GATOS BLVD; turn LEFT onto SAMARITAN DRIVE AND LEFT AT 2505 SAMARITAN DR., SUITE 303.

3. FROM LOS GATOS, SANTA CRUZ: HWY 17 TO LARK AVE EXIT, TURN RIGHT onto LARK. THEN LEFT onto LOS GATOS BLVD; Turn  RIGHT ONTO SAMARITAN DRIVE.  Turn Left at 2505 SAMARITAN DRIVE, SUITE 303.

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