Good Faith Estimate

You have the right to receive a Good Faith Estimate explaining how much your medical and mental health care will cost.

‍Under Section 2799B-6 of the Public Health Service Act (part of the No Surprises Act), health care providers and facilities are required to inform individuals who are not using insurance or not enrolled in a federal health care program—both orally and in writing—of their ability to receive a Good Faith Estimate of expected charges upon request or at the time of scheduling services.

‍If you are uninsured or choosing not to use insurance, you have the right to request an estimate of expected charges for psychotherapy services and other non-emergency care before services are scheduled.

‍This estimate is meant to give you a clear idea of anticipated costs. Your actual care may vary depending on your needs and how treatment unfolds over time.

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

‍You can request a Good Faith Estimate at any time, and it’s a good idea to keep a copy for your records.

‍For more information about your rights, visit www.cms.gov/nosurprises or call 1-800-368-1019.

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Maya Braden, LPC