Private Pay Practice Notice
Empower Speech Therapy operates as a private pay (self-pay) speech-language pathology practice that doesn't bill insurance directly, though federal law grants you rights regarding care costs.
Your Right to a Good Faith Estimate
Under the No Surprises Act, clients have the right to receive a written Good Faith Estimate outlining expected service costs before treatment begins.
What Is a Good Faith Estimate?
A Good Faith Estimate documents anticipated expenses, potentially covering:
- Initial evaluation
- Ongoing therapy sessions
- Recommended treatment frequency and duration
The estimate reflects available information at the time of request.
When You Will Receive Your Estimate
Estimates can be requested:
- Before scheduling
- At scheduling time
- During active treatment
The practice provides estimates within federally required timeframes.
If Your Costs Change
Treatment plans may evolve. Updated estimates are provided upon request if your therapy needs shift.
What If You Are Billed More Than Expected?
Bills exceeding your estimate by at least $400 more qualify for dispute resolution through the U.S. Department of Health and Human Services.
How to Request a Good Faith Estimate
Contact information:
- Phone: 716-201-0453
- Email: contact@empowerwny.com
Include services desired and scheduling details.
Important Notes About Private Pay Services
- Payment required at service delivery unless arranged otherwise
- No insurance claim submissions
- Superbills available for out-of-network reimbursement requests
New York State Protections
State-level protections complement federal safeguards against surprise bills.
Accessibility and Language Assistance
Alternative formats and languages available upon request.