Good Faith Estimate Notice

Under the No Surprises Act, health care providers are required to provide individuals who do not have insurance or who choose not to use their insurance with an estimate of the expected costs of services.

You have the right to receive a Good Faith Estimate explaining how much your mental health care may cost.

You may request a Good Faith Estimate before scheduling services or at any time during treatment.

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

For questions or additional information about your right to a Good Faith Estimate, visit CMS.gov or speak directly with your provider.

Please note that a Good Faith Estimate is based on information known at the time it is created and does not constitute a contract or guarantee of services.