Good Faith Estimate

Under the No Surprises Act, a federal law effective January 1, 2022, you have the right to receive a Good Faith Estimate explaining how much your care will cost.

Who this applies to

This applies to you if you are uninsured, or if you have insurance and choose not to use it for your care. If you are using your insurance benefits, your costs are governed by your plan rather than by this notice.

What the estimate includes

A Good Faith Estimate sets out the expected charges for the services you are scheduling, and for services reasonably expected to accompany them over a 12-month period. For therapy that generally means the session fee, the expected frequency of sessions, and the expected duration of care.

An estimate is not a contract and does not obligate you to any particular course of care. Therapy is not a timeline, and how long you choose to continue is your decision – actual costs may differ from the estimate.

When you will receive one

You will receive a Good Faith Estimate in writing before your first session. Specifically:

• If you schedule at least 3 business days in advance, within 1 business day of scheduling.
• If you schedule at least 10 business days in advance, within 3 business days of scheduling.
• If you ask for one without scheduling, within 3 business days of your request.

You may request a new or updated estimate at any point, and you have the right to one before scheduling anything.

If your bill is higher than your estimate

If you receive a bill that is at least $400 more than your Good Faith Estimate, you may dispute it through the federal patient-provider dispute resolution process. You must start the dispute within 120 calendar days of the date on the bill.

There is a $25 administrative fee to use the process. If the dispute is decided in your favor, you will be charged the price on the estimate, and any additional amount you have already paid will be refunded. Being billed more than the estimate does not affect your care, and disputing a bill is not grounds for ending our work together.

How to request an estimate

Ask on the consultation call, or request one in writing at info@faithhaas.com, or by phone at (714) 257-5101. Current session fees are published on the fees page.

More information

For questions about your rights under the No Surprises Act, or to start a dispute, visit www.cms.gov/nosurprises or call 1-800-985-3059.