Good Faith Estimate

Your Right to Receive a Good Faith Estimate

Under the No Surprises Act, health care providers are required to provide patients who do not have insurance or who are not using insurance with an estimate of the expected charges for medical and mental health services.

What is a Good Faith Estimate?

A Good Faith Estimate outlines the anticipated cost of the services you may receive. It is intended to help you understand your expected financial responsibility before treatment begins.

If you choose to receive services on a self-pay basis, you have the right to receive a Good Faith Estimate that includes the expected cost of your therapy services.

Who Can Receive One?

You are entitled to a Good Faith Estimate if you:

  • Do not have health insurance.

  • Choose not to use your health insurance benefits for therapy services.

  • Are paying for services yourself.

Your Rights

You have the right to:

  • Receive a written Good Faith Estimate before your scheduled service or upon request.

  • Ask questions about your estimated costs before beginning treatment.

  • Receive an updated estimate if your treatment plan or expected costs change significantly.

If you receive a bill that is substantially higher than your Good Faith Estimate, you may have the right to dispute the charges through the federal patient-provider dispute resolution process.

Insurance Clients

If you plan to use your insurance benefits, your financial responsibility will be determined by your insurance carrier and may include copays, coinsurance, deductibles, or other out-of-pocket expenses. Insurance-based services are managed through secure third-party platforms such as Headway or SonderMind.

Questions?

If you have questions about fees or would like to request a Good Faith Estimate before scheduling services, please contact Evolving Seasons Counseling, PLLC. I'm happy to discuss your options and answer any questions you may have before beginning therapy.

For additional information about your rights under the No Surprises Act, please visit www.cms.gov/nosurprises.