No Surprises Act & Good Faith Estimate Notice

Your Right to a Good Faith Estimate

Under the law, health care providers are required to provide patients who do not have insurance or who are not using insurance with an estimate of the expected charges for medical items and services, including mental health services.

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

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.
You can ask me (and any other healthcare provider you choose) for a Good Faith Estimate before you schedule a service or at any time during your care.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

What This Means for You

If you are not using insurance (including if you’re choosing not to submit a claim), I will provide you with a written Good Faith Estimate of the expected cost of your care upon request or upon scheduling.

This estimate will include:

My standard session rate
Frequency and duration of services as discussed in our treatment planning
Any anticipated additional services or fees (e.g., paperwork, assessments, etc.)

Please note: a Good Faith Estimate is not a contract and does not obligate you to receive services. You are free to decide whether to engage in therapy or to discontinue at any time.