01Your right to a Good Faith Estimate
You have the right to receive a "Good Faith Estimate" explaining how much your care will cost. 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 expected charges.
- You have the right to receive it in writing at least 1 business day before your service. You can also ask for it before booking.
- If you receive a bill that is at least $400 more than your estimate, you can dispute the bill.
- Keep a copy or picture of your Good Faith Estimate.
For more information, visit cms.gov/nosurprises or call 1-800-985-3059. Our fees, with their CPT codes, are in the Fees section.
02Payment
All services are self-pay and are paid before the session, by card (Stripe) or PayPal. You will receive a receipt for each payment, as Law 194-2000 provides.
03Cancellations and refunds
| Situation | What happens |
|---|---|
| You paid and have not booked yet | Full refund on request |
| You cancel or change 48 hours or more ahead | Full refund or a new date at no cost, your choice |
| You cancel less than 48 hours ahead or do not connect | No refund, except for an emergency, which CISME reviews case by case |
| CISME cancels or our platform fails | Full refund or a new date at no cost, your choice |
| Your connection fails | Rescheduled once at no cost |
Refunds go back to the same payment method within 10 business days. To cancel or ask for a refund, write to info@cismepr.com.
04If you disagree with a charge
Write to info@cismepr.com. You may also go to Puerto Rico's Department of Consumer Affairs (DACO) or use the federal Good Faith Estimate dispute process.
Reviewed October 16, 2026 · Approved October 16, 2026 by Dr. Carlos A. Lado-Cornejo