Good Faith Estimate Notice

Understanding the Good Faith Estimate (GFE)

The No Surprises Act is a federal law designed to protect consumers from unexpected medical bills. A key component of this law is the Good Faith Estimate (GFE).

What is a Good Faith Estimate?

A Good Faith Estimate is a document that provides an estimate of the expected costs for a specific medical service, including psychotherapy services. This estimate helps you understand the potential expenses you may incur, empowering you to make informed decisions about your healthcare.

Your Right to a Good Faith Estimate

You have the right to receive a Good Faith Estimate for any non-emergency healthcare services, including psychotherapy services. You can request a GFE from your healthcare provider or any other provider you choose, both before scheduling a service and at any point during treatment.

How to Use Your Good Faith Estimate:

  1. Compare Costs: Request GFEs from multiple providers to compare prices and find the best value.

  2. Ask Questions: Don't hesitate to ask your provider to clarify any items on the GFE.

  3. Be Aware of Additional Costs: While the GFE provides an estimate of the primary costs, there may be additional fees or charges not included.

  4. Dispute Unexpected Bills: If you receive a bill that is significantly higher than your GFE (at least $400 more), you have the right to dispute it.

By understanding the Good Faith Estimate and using it effectively, you can take control of your healthcare costs and make informed decisions about your mental health.


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

Contact us if you have questions about receiving a Good Faith Estimate.