Under the No Surprises Act, healthcare providers are required to inform patients who are uninsured or choosing not to use insurance about their right to receive a Good Faith Estimate of expected healthcare costs.

A Good Faith Estimate explains the anticipated charges for your medical or mental health services before you receive care.

Your Right to a Good Faith Estimate

You have the right to receive a Good Faith Estimate for the total expected cost of non emergency healthcare services, including psychotherapy and mental health treatment.

Healthcare providers must provide this estimate to patients who:

• Do not have health insurance, or
• Choose not to use their insurance for services

This estimate helps you understand potential costs before scheduling or receiving care.

What the Estimate Includes

A Good Faith Estimate may include expected charges for:

• Therapy sessions
• Mental health services
• Other related healthcare services provided by your provider

You may request this estimate before scheduling an appointment.

If Your Final Bill Is Higher Than Expected

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

It is important to keep a copy of your Good Faith Estimate for your records.

Learn More About Your Rights

For additional information about your rights under the No Surprises Act, visit:
http://www.cms.gov/nosurprises
You may also call:
(800) 985-3059