Good Faith Estimate

Starting on January 1, 2022, federal laws regulating client care have been updated to include the “No Surprises” Act which requires health care providers to provide current and potential clients a “Good Faith Estimate” (GFE) of the cost of treatment. This is intended to provide you with transparency about your expected medical expenses and to protect you from surprises when you receive medical bills.

To ensure no “surprise billing”, my fees for counseling are transparent and listed on my website, on your new client paperwork, and always discussed and mutually agreed to before counseling services begin.

Because every client’s journey in therapy is different, it is challenging to estimate in advance the length of treatment. Some clients come to therapy for just a few sessions while others find it beneficial to attend therapy for months or years. Therefore, the Good Faith Estimate is just an estimate based on an assumed treatment period. You may choose to come to therapy more or less frequently or for a shorter or longer duration. You are always in charge of how often you attend sessions and you have the right to end treatment at any time.

During the initial video consultation, I will verbally provide you with a Good Faith Estimate (GFE). This estimate also will be available to you in writing and you can access it through the Simple Practice portal. If you are a a current client, I will be providing you with a GFE as well.

Good Faith Estimate Notice

• You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. 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 for medical items and services.

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

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

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

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.