Good Faith Estimate


As part of the No Surprises Act (NSA) that went into effect 01/01/2022--

This notice applies to Self Pay / Uninsured Clients




The No Surprises Act (NSA) took effect 01/01/2022.  This law establishes new federal protections against surprise medical bills. 

The No Surprises Act (NSA), currently applies only to uninsured and self-pay patients who choose to not use their insurance, as of now.

You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost, including psychotherapy services

Notice to clients and prospective clients:

Under the law, health care providers need to give clients who don’t 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. 

For questions or 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.