Good Faith Estimate

As a client, you have the right to receive a “Good Faith Estimate” explaining how much your therapy 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 expected charges for medical services, including psychotherapy services.

What You Can Expect

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

  • This estimate will be provided in writing at least one business day before your scheduled service, or upon request.

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

  • The Good Faith Estimate is not a binding contract—it is an estimate and your actual cost may vary depending on how many sessions you choose to attend.

How It Applies to Therapy

If you are not using insurance for therapy (i.e., paying out-of-pocket), you are entitled to a written estimate of your expected costs. The estimate will include:

  • Session fee(s)

  • Expected frequency and duration of treatment

  • Any additional costs (if applicable)

Example:
If your session fee is $150 and you attend weekly therapy for 3 months, your estimated total would be $1,800.

Questions or Concerns?

You can request a written Good Faith Estimate at any time.
📧 larissachilderstherapy@gmail.com

For more information about your rights under the No Surprises Act, visit:
www.cms.gov/nosurprises