Your Right to Receive a Good Faith Estimate of Expected Charges

Under the No Surprises Act, health care providers must give clients who don't have insurance, or who are not using insurance, an estimate of the expected charges for their care. This 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 items or services. This includes related costs like assessments and therapy sessions.

• Make sure your counselor gives you a Good Faith Estimate in writing at least 1 business day before your first session. You can also ask your counselor for a Good Faith Estimate before you schedule a session.

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

• Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.