Good Faith Estimate (No Surprises Act)

You have the right to receive a Good Faith Estimate explaining the expected cost of your medical and mental health care.

Under the No Surprises Act, health care providers are required to give clients who are not using insurance an estimate of expected charges.

Your Right to an Estimate

• You may request a Good Faith Estimate before scheduling services

• You will receive an estimate in writing outlining expected costs

• The estimate will include session fees and any other anticipated services

Disputes

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

Questions or Requests

You can request a Good Faith Estimate at any time before or during treatment.

For more information, visit:
https://www.cms.gov/nosurprises