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Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical 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. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

• 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, visit www.cms.gov/nosurprises or call 800-985-3059.

The No Surprises Act went into effect January 2021 and is designed to protect clients from receiving unexpected medical bills. Health care providers are required to provide a Good Faith Estimate (GFE) of anticipated charges to every client who’s either uninsured or not planning to submit a claim to their insurance for the services they’re seeking prior to the first appointment

A variety of factors can make estimating the length of therapy up front challenging, such as

Individual life factors and circumstancesYour treatment goalsYour schedule and personal financesTherapist availabilityOngoing life challenges

Treatment length and goals are part of an ongoing discussion between you and your therapist. Together, you and your therapist may decide you need less sessions to feel better. Or you may choose to work together longer to support significant change and recovery, and help you feel confident in your new skills. Some clients begin to space their appointments farther apart and may continue to come in for “tune ups” when needing extra support. Ultimately, as the client, it is your decision when to stop therapy

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800.985.3059.