Good Faith Estimate

 

Your Right to a Good Faith Estimate

If you do not have health insurance, or you choose not to use your insurance for counseling, you have the right to receive a Good Faith Estimate of the expected cost of your care. You can request one before scheduling, and I will provide one when required after you schedule.

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Therapy does not have a predetermined number of sessions. Your written estimate will show the expected charges based on what we know at the time, including the anticipated frequency of sessions. We can update it if your care or fees change. An estimate is not a contract, and you are not required to continue therapy.

If a bill from my practice is $400 or more above its Good Faith Estimate, you may have the right to dispute it. You must start the federal dispute process within 120 calendar days of receiving the bill. Please keep a copy of your estimate.

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To request a Good Faith Estimate or a list of my self-pay fees, contact my practice. For more information about your rights, visit cms.gov/nosurprises.

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