Good Faith Estimate Notice (No Surprises Act)
Under the law, health care providers are required to provide patients who do not have insurance or who are not using insurance an estimate of expected charges for medical services.
You have the right to receive a “Good Faith Estimate” explaining how much your mental health care will cost.
Your Right to a Good Faith Estimate
You may request a written Good Faith Estimate before scheduling services.
If you schedule services, you will receive a Good Faith Estimate upon request or as required by law.
The estimate will outline the anticipated costs of therapy services, including session fees.
Dispute Process
If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill through the federal patient-provider dispute resolution process.
For questions or more information about your right to a Good Faith Estimate, visit:
https://www.cms.gov/nosurprises
Valerie Rasicci, LCSW, LISW
Wild Living Therapy
