Good Faith Estimate

Under the federal No Surprises Act, individuals who do not have health insurance or who choose not to use their health insurance to pay for services have the right to receive a Good Faith Estimate of the expected cost of care.

If you are paying for therapy out of pocket, you may request a written estimate of the anticipated cost of services before beginning treatment or at any time during treatment.

The actual number of therapy sessions you attend will depend on your individual needs, goals, and preferences. Because the length and frequency of therapy can vary, your Good Faith Estimate will reflect the information available at the time it is provided and may be updated if your treatment needs change.

If you receive a bill that is $400 or more above the amount listed on your Good Faith Estimate, you may be eligible to dispute the charge through the federal patient-provider dispute resolution process.

For questions about your fees or to request a Good Faith Estimate, please contact me at olya@hereforyousf.com.

For more information about your rights under the No Surprises Act, visit the Centers for Medicare & Medicaid Services at cms.gov/nosurprises or call 1-800-985-3059.