Good Faith Estimate

Starting therapy is a meaningful investment of your time, energy, and resources. You deserve to feel informed about the financial side of care—without any surprises.

Under the No Surprises Act, which took effect January 1, 2022, healthcare providers, including mental health professionals, are required to offer a Good Faith Estimate (GFE) of the expected costs of services to clients who are uninsured or not using insurance (i.e., private pay or self-pay).

What is a Good Faith Estimate?

A Good Faith Estimate outlines the expected costs for services you may receive. This estimate:

• Includes the type and frequency of sessions recommended
• Projects the total cost of services over a set period of time (e.g., weekly sessions over 12 months)
• Reflects fees for all standard services (e.g., intake evaluations, therapy sessions, assessments)

It’s important to know that your Good Faith Estimate is not a contract or a bill. It simply offers a transparent overview of potential charges based on the information available at the time.

You have the right to request a Good Faith Estimate at any time. I provide one proactively to all clients during the intake process.

Your Rights Under the No Surprises Act

If you are not using insurance for therapy services, you are entitled to:

• Receive a written Good Faith Estimate before your first session or upon request
• Ask questions and get clarification about your estimate
• Dispute charges that are $400 or more above the estimate through a formal process with the U.S. Department of Health and Human Services

You can learn more about this law and the dispute resolution process at https://www.cms.gov/nosurprises.