Notifications

No Surprise Act and Good Faith Estimates

The No Surprises Act is a federal law that went into effect on January 1, 2022. 

A Good Faith Estimate is a document required by the No Surprises Act, detailing the expected costs for healthcare services, including psychotherapy, for uninsured or self-pay individuals. The purpose of this document is to prevent surprise medical bills by listing charges for primary services, related tests, and equipment. Receiving a Good Faith Estimate allows individuals to dispute a medical bill if a provider or a facility charged at least $400 more than their estimate. Additional information about Good Faith Estimates may be found below. You can also visit https://www.cms.gov/nosurprises or call 800-985-3059 with questions or concerns about your Good Faith Estimate.

What it includes:

  • Itemized list: Specific expected charges for the main service and associated items (like individual or dyad psychotherapy).

  • Co-provider costs: Expected charges from other providers (not applicable in this setting) involved in the care, if known.

  • Format: Provided electronically or in print, in the consumer's preferred format.

When you receive it:

  • Upon request: You can ask for one at any time.

  • When scheduling: If you schedule a service at least 3 business days out, you will receive a Good Faith Estimate within one business day; if 10+ days out, within three business days of scheduling.

Your rights:

  • Compare costs: Use a Good Faith Estimate to compare prices from different providers.

  • Dispute bills: If your final bill is $400 or more over the Good Faith Estimate from a provider, you can dispute it. You must have a copy of the original document to submit a complaint. Complaints may be submitted here or by phone at 800-985-3059 to begin the dispute process.