GOOD FAITH ESTIMATE (NO SURPRISES ACT)

As part of the No Surprises Act (effective January 1, 2022), clients have the right to receive clear, upfront information about the expected cost of their care before services begin. This law aims to protect clients from unexpected medical bills and to ensure that you’re fully informed about what therapy may cost over time.

A Good Faith Estimate (GFE) explains the expected charges for services particularly for when insurance is not applicable. Since I am an out-of-network provider, I will supply you with a GFE before services are rendered.

You can receive a Good Faith Estimate at any time:

  • Before your first session

  • Any time fees or service plans change

  • Whenever you request an updated estimate

Your estimate will include:

  • The type of services we agree to (e.g., individual or couples therapy)

  • The session fee

  • The frequency and anticipated duration of care

  • Any additional costs that may reasonably be expected (if applicable)

Please note: Actual treatment length will depend on your progress and individualized needs. Your estimate is not a contract or bill; it’s transparent cost information for your records.

Dispute Resolution

If you ever receive a bill that substantially exceeds your Good Faith Estimate ($400 or more), you have the right to dispute the charge and/or request a negotiated resolution.

You can learn more about your dispute rights by visiting:
www.cms.gov/nosurprises

You may also contact:
U.S. Department of Health & Human Services
1-800-985-3059

Keeping copies of your estimate and related billing documents will support you if a dispute is ever needed.

Questions? I’m Here to Help.

Financial transparency is important to me. If you have questions about the No Surprises Act or would like to request a Good Faith Estimate at any time, please reach out. Together, we’ll ensure that your care feels clear, supportive, and stress-free from the start.