Good Faith Estimate Notice

Under the law, health care providers are required to provide clients who do not have insurance — or who are not using insurance — an estimate of expected charges for medical and mental health services.

Under the No Surprises Act, you have the right to receive a “Good Faith Estimate” explaining how much your medical or mental health care will cost. This applies to all health care providers, including psychotherapy services.

Because psychotherapy treatment needs can vary based on clinical presentation, frequency of sessions, crises, cancellations, and evolving treatment goals, the Good Faith Estimate reflects anticipated costs based on information known at the time the estimate is created and is not a contract for services.

You may request a Good Faith Estimate before scheduling a service or at any time during treatment. Under the law, if you receive a bill that is at least $400 more than your Good Faith Estimate, you may dispute the bill. Make sure to save a copy or a picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit CMS No Surprises Act Information Page. If you have any questions about whether you have received, or need to receive, a Good Faith Estimate please ask your provider. They will be happy to help.