Good Faith Estimate

Under Section 2799B-6 of the Public Health Service Act, health care providers are required to inform individuals who are not enrolled in an insurance plan or federal health care program, or who choose not to use their insurance, of their right to receive a Good Faith Estimate of expected charges for services.

Your Right to a Good Faith Estimate

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

Under the law, health care providers must provide clients who do not have insurance or who are not using insurance with an estimate of the expected charges for non-emergency services. This estimate reflects the anticipated cost of services based on information available at the time and is not a guarantee of final charges.

What is included

You have the right to receive a Good Faith Estimate for the total expected cost of non-emergency services. For mental health services, this typically includes therapy sessions and any related services provided by this practice.

Disputing a Bill

If you receive a bill that is $400 or more higher than your Good Faith Estimate, you have the right to dispute the bill through the U.S. Department of Health and Human Services.

Be sure to save a copy of your Good Faith Estimate for your records.

For more information about your rights under the No Surprises Act, visit www.cms.gov/nosurprises.