100 Stone Village Drive, Suite 102

Fort Mill, SC 29708

Phone 980-404-2365

Fax 803-403-8916

Good Faith Estimate For Uninsured Clients

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs such as testing, prescription drugs, etc. Your health care provider shall provide you a Good Faith Estimate in writing prior to your medical service. 


You can also ask your health care provider and any other provider you choose (to work with), for a Good Faith Estimate during scheduling. If you receive a bill that is substantially higher than estimated on (more than $400 than) your Good Faith Estimate, you can dispute the bill. It is a good idea to save a copy of your Good Faith Estimate.


Your Good Faith Estimate will be given to you upon intake with the intake specialist and prior to starting counseling, medication management, or testing services. Please visit our service page for more information on services that are offered in our practice.


For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises


Information for Out-of-Network clients

If the provider you are seeing in our office is out of network it could cost you more to see that provider. You can waive utilizing your insurance in our office or we can refer you to an in-network provider ( we maintain a list of providers but can not guarantee they accept your insurance or have openings at this time )