Your right to a good faith estimate

You have the right to receive a good faith estimate explaining how much your care will cost if you are uninsured or are not planning to submit a claim to your insurer.

Under the law, health care providers must give people who are uninsured or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy.

• You have the right to receive a good faith estimate for the total expected cost of any non-emergency services, including psychotherapy.
• You can ask for a good faith estimate before you schedule a service. If you schedule a service at least three business days in advance, you will receive one in writing within one business day.
• If you receive a bill that is at least $400 more than your good faith estimate, you can dispute the bill.
• Keep a copy of your good faith estimate somewhere safe.

Because psychotherapy is ongoing, the estimate covers an expected number of sessions over a defined period. It is an estimate, not a contract, and we will revisit it if the plan changes.

For questions or more information about your right to a good faith estimate, visit cms.gov/nosurprises or call 1-800-985-3059.