Notice to Self-Pay / Uninsured Patients


Notice to Self-Pay / Uninsured Patients

Transparency. Integrity. No surprises.

At Propel Rehab, we believe in care without ceilings - and that includes transparency about costs.

If you are uninsured or choose not to use insurance (electing to pay privately), you are entitled to a clear, upfront explanation of our fees, including an estimate of total costs before services begin.

What You Can Expect

  • A detailed explanation of our private-pay rates and what services are included

  • A Good Faith Estimate (GFE) in writing, upon request or prior to your evaluation

  • The ability to ask questions about billing or service costs at any time

  • No surprise bills, hidden fees, or unexpected charges

Good Faith Estimate (GFE)

Under the No Surprises Act, you have the right to receive a Good Faith Estimate for the total expected cost of services if:

  • You are uninsured, or

  • You are not using insurance (private pay / self-pay)

This estimate will include:

  • The anticipated number of visits

  • The cost per visit or service

  • Any additional services or supplies recommended during your care

You may request this estimate in writing or verbally at any time.

Have Questions? Need an Estimate?

We’re happy to walk you through your options, with clarity and care.

📧 Email: info@propelrehab.com
📞 Call or Text: 732-443-0045

Additional Resources