Good Faith Estimate Notice

Under Section 2799B-6 of the Public Health Service Act,  you have the right to receive a “Good Faith Estimate” (GFE) explaining how much your medical and mental health 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 expected charges for medical services, including psychotherapy services, if requested. 

You have the right to receive a GFE for the total expected cost of any non-emergency healthcare services, including psychotherapy services, if requested. 

You can ask your health care provider, and any other provider you choose, for a GFE before you schedule a service. Please let me know during our consultation call if you would like a GFE.

If you receive a bill that is at least $400 more than your GFE, you can dispute the bill. Make sure to save a copy or picture of your GFE.

For questions or more information about your right to a GFE, visit www.cms.gov/nosurprises.