good faith estimate notice

Last updated August 25, 2024

Notice to clients and prospective clients:

Under the law, as of January 1st, 2022, and under the No Surprises Act, state-licensed and/or certified health care providers need to give clients who do not have insurance or who are not using insurance, an estimate of the expected charges for medical services, including psychotherapy services. 

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 your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service, 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. Make sure to save a copy or picture of your Good Faith Estimate. 

If you have any additional questions or want more information about your right to a Good Faith Estimate, or how to dispute a bill, see your Estimate, or visit www.cms.gov/nosurprises.

Understanding costs if you are uninsured or self-pay:

https://www.cms.gov/nosurprises/consumers/understanding-costs-in-advance