Good Faith Estimate

Your Right to Receive a Good Faith Estimate

Under federal law, healthcare providers are required to provide clients who do not have insurance or who are not using insurance with a Good Faith Estimate of expected healthcare costs.

If you are paying for services yourself, you have the right to receive a written estimate explaining the anticipated cost of your therapy services before your first appointment or upon request.

Your Good Faith Estimate will include the expected cost of services based on the information available at the time it is created. Because therapy is individualized, the actual number of sessions or total cost may differ depending on your needs, goals, and treatment plan.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill.

For questions about your Good Faith Estimate or to request a copy, please contact me before or during your course of treatment.

You can also learn more about your rights under the No Surprises Act by visiting www.cms.gov/nosurprises.