In compliance with with the No Surprises Act, I will provide all who are uninsured or choosing not to use insurance with a Good Faith Estimate upon request and/or prior to a scheduled appointment. The Good Faith Estimate will give you the expected cost for health care related tasks and/or services, including psychotherapy.
When you schedule a medical or mental health service at least 3 business days in advance, you have the right to receive a Good Faith Estimate within 1 business day after scheduling. When you schedule a medical or mental health service at least 10 business days in advance, you have the right to receive a Good Faith Estimate within 3 business days of scheduling. You have the right to ask for a Good Faith Estimate before you schedule an appointment, and the health care provider must provide a Good Faith Estimate within 3 business days.
In the event that you receive a bill that is $400 more than your Good Faith Estimate, then you can dispute the bill. It is important that you keep a copy and/or take a photo of your Good Faith Estimate in the event that you need to dispute charges for your medical or mental health services.
If you have questions or would like more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises
or call (800) 985-3059.