Your rights under the No Surprises Act
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your care will cost.
Under the law, health care providers need to give patients who don't have insurance, or who are not using insurance, an estimate of the bill for medical items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services — including related costs like medical tests, prescription drugs, equipment, and facility fees.
- Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your service. You can also ask me, or any other provider you choose, for a Good Faith Estimate before you schedule.
- 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 a picture of your Good Faith Estimate.
What this means in my practice
- I am an out-of-network provider. Individual and couples sessions are $200 per 50-minute session.
- Before we begin, I will give you a written Good Faith Estimate listing the expected number of sessions and the total expected cost. If your needs change, I will give you an updated estimate.
- The estimate is not a contract and does not obligate you to accept the services listed. How long we work together is always a decision we make together.
- To request a written estimate, use the form on the home page or email me directly.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.