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Good Faith Estimate &
No Surprises Act Notice

Under the federal No Surprises Act, you have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.

 

If you are not using insurance to pay for services, you have the right to receive a written estimate of expected charges for psychotherapy services before services are provided.

 

You may request a Good Faith Estimate at any time before scheduling services or during the course of treatment.

 

The estimate will include:

 

  • The expected cost per session

  • The frequency of sessions (if applicable)

  • Any other reasonably anticipated charges

 

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

 

For more information about your rights under the No Surprises Act, visit:

 

www.cms.gov/nosurprises

 

To request a Good Faith Estimate, please contact:

 

inquiries@MeTheTherapist.com

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