Beginning in 2022, health care providers and health care facilities are required to inform individuals, both orally and in writing, of expected charges via a Good Faith Estimate. Under Section 2799B-6 of the Public Health Service Act, the Good Faith Estimate will include expected charges, expected services, and an estimate of session frequency. Fees for service that may be requested by the client that are not generally part of regular treatment may land outside of a “Good Faith Estimate.” These fees will be outlined in the informed consent process of therapy and will be considered above and beyond a good faith estimate. Such fees may include services such as phone calls longer than 10 minutes relating to issues other than scheduling, request for records, couples or family sessions, court appearance, etc.
Clients have a right to access their Good Faith Estimate. The No Surprise Act requires health care providers to provide clients who do not have coverage, or who are not using their coverage to pay for services (ie., self pay), an estimate of expected charges for medical services, including psychotherapy services. This also includes the total expected cost of any non-emergency items or services.
- You can ask your provider (any and all of your providers) for a Good Faith Estimate before you schedule a service. It is your responsibility to save a copy or picture of your estimate.
- If you receive a bill that is $400+ more than your Good Faith Estimate, you can dispute the bill.
- Visit cms.gov for further details.
- Call by phone: 1-800-368-1019 for further information

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