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Good Faith Estimate

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 (or “Good Faith Estimate”) for medical and mental health services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services. This includes related costs like therapy session fees.

  • Estimates will be furnished upon request when scheduling an appointment. You can ask your provider to provide this in writing at any time prior to scheduling an appointment.

  • Estimates are for your information only, and do not imply any commitment or agreement to pay for an unknown length of treatment.

  • Estimates do not include any unknown or unexpected costs that may arise or be requested during treatment, such as more frequent or longer appointments. You may be charged more if these special circumstances occur. Your Good Faith Estimate will be updated if there are changes in your treatment plan.

  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you have a right to dispute the bill.

  • Make sure to save a copy of your Good Faith Estimate.

For questions or more information about Good Faith Estimates, visit https://www.cms.gov/nosurprises/consumers or call 1-800-985-3059.