YOUR RIGHT TO A GOOD FAITH ESTIMATE

Under Section 2799B-6 of the Public Health Service Act and the federal No Surprises Act, health care providers—including Licensed Professional Counselors (LPCs)—are required to provide patients who do not 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, including psychotherapy sessions.

• You will receive a written Good Faith Estimate at least 1 business day before your scheduled service. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.

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

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises