Good Faith Estimate

Healthcare Items and Services under the No Surprises Act

As of January 1, 2022, all healthcare providers are required to provide estimates for the cost of your care. You are entitled to receive a copy of your Good Faith Estimate (GFE) when you schedule an appointment and/or upon request. The GFE shows the cost of services that are reasonably expected for your healthcare needs and treatment if insurance is not used or does not cover the service. This protects you from balance billing and other unexpected charges. Coastal Family Nutrition has a Health Insurance Verification Questionnaire to guide you in understanding your coverage for nutrition services. We will provide you a GFE upon request. Please note that this GFE does not include unexpected costs that could arise during treatment, including cancellation or no-show fees.

What is the estimate? Do I owe this amount?

This law requires healthcare providers to supply you with an estimate of the costs for your nutrition services at Coastal Family Nutrition. While it is not possible for the dietitian to know, in advance, how many sessions may be necessary and appropriate for a given person, this document provides an estimate of the cost of services provided. Your total cost of services will depend upon the number and length of sessions you attend, as well as your individual circumstances. Coastal Family Nutrition offers package pricing for those who are interested.

If you have any questions or would like to request a Good Faith Estimate, please call our office or send us an email

603-674-2479 | [email protected]