Privacy Policy and No Surprise Act
Good Faith Estimate Under Section 2799B-6 of the Public Health Service Act, healthcare providers and healthcare facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal healthcare 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. Uniquely You Behavioral Health will always tell you what you will owe for services prior to your visit if you are out of network. You will be provided with a statement of agreement which you will sign prior to your first appointment if you are not using insurance.
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. 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 like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or 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 the Center for Medicaid and Medicare Services website
Privacy Policy
HIPAA-Compliant Privacy Policy
This Privacy Policy outlines how your Protected Health Information (PHI) is collected, used, and safeguarded in compliance with the Health Insurance Portability and Accountability Act (HIPAA). Your privacy and the security of your health information are taken very seriously, and every effort is made to ensure your information is protected.
1. Collection of Information
When you use this website, we may collect personal information such as your name, contact details, and any other relevant information you choose to provide. If you submit any information related to your health or treatment through the website (such as through contact forms or appointment requests), it may be classified as PHI and will be handled in accordance with HIPAA regulations.
2. Use of Information
Your PHI will only be used for the following purposes:
To provide treatment, coordinate care, or offer other services you request.
For healthcare operations such as scheduling appointments, billing, and improving service delivery.
For administrative purposes related to your care.
3. Disclosure of Information
Your PHI will never be disclosed to third parties without your written consent, except in the following cases:
As required by law: We may disclose PHI to comply with legal obligations or in response to a court order.
For treatment purposes: We may share PHI with other healthcare providers involved in your care.
For payment: We may share necessary information with your insurance company to process payments.
For healthcare operations: PHI may be used for administrative activities that improve the quality of care.
4. Security of Information
We implement strict security measures to protect your PHI from unauthorized access, disclosure, or misuse. This includes using secure servers and encryption where applicable to protect your data.
5. Your Rights
You have the following rights regarding your PHI:
Access: You have the right to request and receive a copy of your health information.
Amendment: You may request an amendment if you believe that your PHI is incorrect or incomplete.
Restrictions: You can request certain restrictions on the use and disclosure of your information.
Confidential Communication: You may request that we communicate with you in a certain way or at a specific location to ensure your privacy.
6. Cookies and Analytics
This website may use cookies or analytics tools to improve the user experience, but these do not collect PHI. You may opt out of cookies through your browser settings.
7. Changes to the Privacy Policy
This Privacy Policy may be updated periodically to reflect changes in practice or legal requirements. Any updates will be posted on this website.
8. Contact Information
If you have any questions or concerns about this Privacy Policy or your privacy rights, please contact us at:
meganorr@lotusbehavioralwellness.com
(779) 777-5361
This Privacy Policy is in compliance with HIPAA and is designed to ensure that your health information is protected and kept confidential in all circumstances.