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.
Good Faith Estimate
This Good Faith Estimate is not intended to serve as a recommendation for treatment or a prediction that you may need to attend a specified number of psychotherapy visits. The number of visits that are appropriate in your case, and the estimated cost for those services, depends on your needs and what you agree to in consultation with the therapist. You are entitled to disagree with any recommendations made to you concerning your treatment and you may discontinue treatment at any time.
Most clients will attend one psychotherapy session per week, but the frequency of psychotherapy sessions that are appropriate in your case may be more or less than once per week, depending upon your individual needs and preference. It is also important, when determining your total estimate, to take into consideration vacations, holidays, emergencies, and sick time.
You may project any potential future cost(s) by multiplying the session fee by the total number of sessions. This will result in your total estimated cost for mental health service(s).
As an example, $225 session fee X 4 sessions =$900.
If you attend therapy for a shorter or longer period, your total estimated charges will decrease or increase according to the number of visits and length of treatment. How long you need to engage in therapy and how often you attend sessions will be influenced by many factors including your schedule and life circumstances, the progress in therapy, ongoing or new life challenges, and personal finances.
You and the therapist will continually assess the appropriate frequency of therapy and will work together to determine when you have met your goals and are ready for discharge and/or a new “Good Faith Estimate” will be issued should the frequency of session(s) or needs change. As related, you may request a new GFE at any time in writing during your treatment.