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Good Faith Estimate Notice


Under the law, health care providers, including behavioral/mental health therapists, need to give patients who don’t have insurance or who are not using insurance, a document with a written estimate of the expected charges for services when such an estimate is requested by the patient.  This document is called a "Good Faith Estimate".  


You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare service, including psychotherapy services.  You can ask any provider for a Good Faith Estimate before you schedule a service or at any time.  
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 

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