Poyner Mental Health Services
14453 SE 29th Suite D·Choctaw, OK 73020|(405) 741-2844

Your Rights

No Surprises Act & Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care providers must give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including counseling and psychological services.

Your rights as a patient

Under the No Surprises Act, you have the right to:

  • Receive a written estimate of expected charges for non-emergency care, including related items like tests, prescription drugs, equipment, and facility fees.
  • Get the estimate in writing at least one business day before your service. You can also ask your provider for a Good Faith Estimate before you schedule.
  • Request an estimate at any time — before scheduling, or any time during care.
  • Dispute a bill that is at least $400 more than your Good Faith Estimate through a federal dispute resolution process.
  • Keep a copy of your Good Faith Estimate for your records.

Questions or concerns?

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises, or contact our office at (405) 741-2844.

Contact our office