Good Faith Estimate
Last updated [Month DD, YYYY]
Under the No Surprises Act, you have the right to receive a Good Faith Estimate of what your care will cost if you are uninsured or are not planning to use insurance.
Your right to a Good Faith Estimate
Health care providers must give clients who don't have insurance, or who aren't using it, an estimate of the expected charges for services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services, including psychotherapy.
You can ask for a Good Faith Estimate before you schedule, or at any point during treatment.
What you will receive
If you schedule a service at least three business days in advance, you will receive a written estimate at least one business day before your appointment. If you schedule at least ten business days in advance, you will receive it within three business days.
The estimate will be in writing, and you can ask for one by phone or email before scheduling.
If you are billed more than the estimate
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute it. Start the dispute process within 120 calendar days of the date on the bill.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.
A note on estimates for therapy
Psychotherapy is open-ended by nature, so an estimate is a projection rather than a fixed quote. The estimate will state the expected fee per session and an anticipated number of sessions, and it will be updated if the plan changes.
This page is general information, not legal advice. Questions about your own situation are best answered directly — hello@ishakbhatt.com.