Your Right to a Good Faith Estimate

Under the No Surprises Act, you have the right to receive a “Good Faith Estimate” explaining the expected cost of your mental health care.

If you are not using insurance or are paying out of pocket, you will receive a written Good Faith Estimate before your first appointment or upon request. This estimate will include the expected charges for services you and your provider discuss, such as:

• The cost per session

• The frequency of sessions (for example, weekly or biweekly)

• The estimated total cost over a specific period of time

Please note: The actual number of sessions and total cost may vary depending on your individual needs and treatment plan. You may request an updated estimate at any time.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill. For more information, visit cms.gov/nosurprises or contact Amy Neal through the client portal.

We are committed to transparency and helping you understand the cost of your care. Please contact us with any questions or to request a Good Faith Estimate at any time.