Good Faith Estimate

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

Good Faith Estimate Rights

Under the No Surprises Act, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services.

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services including psychotherapy.

• You can ask your health care provider for a good faith estimate before your first session, or at any time during treatment.

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

• Save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises and/or contact us at: [email protected].