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Notice of Good Faith Estimate

Effective January 1, 2022, under the No Surprises Act, all mental health clients have the right to receive a “Good Faith Estimate” for the cost of services. This act aims to increase transparency and prevent unexpected charges for medical and mental healthcare. The Good Faith Estimate outlines the expected costs of non-emergency services, helping clients make informed decisions about their care.

What to Expect:

  • You have the right to receive a written estimate of the total expected costs of any non-emergency services before starting treatment.
  • This estimate includes the cost of therapy sessions, assessments, and any other services you might receive.
  • The estimate will be provided in a clear, understandable format, allowing you to budget for your care accordingly.
  • If you receive a bill that is at least $400 more than the Good Faith Estimate provided, you have the right to dispute the charges.

For questions about your estimate or to request one, please contact our office directly.

Good Faith Estimate Disclaimer:

This Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created.

The Good Faith Estimate is only an estimate—actual items/ service charges may differ. The Good Faith Estimate does not include any unknown or unanticipated costs that may arise and are not reasonably expected during treatment due to unforeseen events. You could be charged more if complications or special circumstances occur.

Other potential items and/ or services associated with therapy charges may include but is not limited to no show/ late cancellation fee(s), record request(s), letter writing(s), legal fee(s)/ court attendance(s), professional collaboration(s), and
in-between session supports). These potential items / services and associated fee(s) are discussed further within the “Therapy Consent, Policies, and Agreements” documentation and should these items / services be initiated a new Good Faith Estimate will be provided. The Good Faith Estimate does not obligate the client to obtain listed items or services.