Good Faith Estimates

This information is for uninsured/self-pay individuals.

A Good Faith Estimate will be given to you in compliance with the No Surprises Act (NSA) that protects uninsured (or self-pay) individuals from unexpectedly high medical bills. This Act requires therapists and other healthcare providers to provide clients with an estimate for their cost of services.

Self-pay fees are due at the time of service. If at any time your bill is at least $400.00 higher than your Good Faith Estimate or if you are billed charges higher that agreed upon, you may file a dispute through outside entities determined by the Department of Health & Human Services. Please contact your provider to discuss potential financial barriers, questions, and concerns you may have if / as they arise. 

The NSA requires healthcare providers to provide documentation of your mental health diagnosis determined during the initial conversation and/or session. Please note that it is difficult to accurately assess mental health diagnoses within the initial meeting, therefore your diagnosis may change. If and when your diagnosis changes, your therapist will provide you with an updated copy of your Good Faith Estimate letter for your records. 

If you have questions regarding the No Surprises Act, Good Faith Estimates, and self-pay options, please do not hesitate to reach out to your individual provider.