Good Faith Estimate Disclosure
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.