Good Faith Estimate

Under the No Surprises Act

You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. Heath care providers need to provide clients who do not have insurance or who are not using insurance an estimate of the expected charges for services, including psychotherapy services.

You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.

You can dispute a bill if it is at least $400 more than your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call the No Surprises Help Desk at 1-800-985-3059.