Good Faith Estimate Notice

If you do not have insurance or are not using your insurance to pay for your services (you are paying out-of-pocket), you have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.

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Under the law, health care providers must give patients who don’t have insurance or who are not using their insurance (paying out-of-pocket for services) an estimate of the expected charges for medical services, including psychotherapy services. 

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You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.

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You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.

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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.

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