Good Faith Estimate Notice

You are entitled to a Good Faith Estimate, which outlines the anticipated costs of your medical and mental health care.

Under federal law, healthcare providers must provide an estimated cost of services— including psychotherapy— to patients who either do not have insurance or choose not to use it.

This estimate should reflect the total expected cost of any non-emergency healthcare service, including therapy. You have the right to request a Good Faith Estimate from your provider or any other provider of your choice before scheduling a service.

If the actual bill you receive is at least $400 higher than your Good Faith Estimate, you have the option to dispute the charges. Be sure to keep a copy or photo of your estimate for reference.

For more details about your rights regarding a Good Faith Estimate, visit www.cms.gov/nosurprises.