Notification of Good Faith Estimate

Effective January 1, 2022, a federal ruling went into effect called the “No Surprises Act,” which requires mental health practitioners to provide a “Good Faith Estimate” (GFE) of costs to any patient who is uninsured or who is insured but does not plan to use their insurance benefits to pay for specific health care services. Each private pay client’s GFE is included in their intake packet. Information on current rates can be found HERE.

You have the right to initiate a dispute resolution process if the actual amount charged to you substantially exceeds the estimated charges stated in your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises/consumers or call 1-800-985-3059.