Effective January 1, 2022

Under the “No Surprises Act,” health care providers need to give self-paying clients who don’t have or use insurance an estimate of the bill for medical items and services, including therapy and counseling.

The Good Faith Estimate is not a bill or contract for services. The information provided in this estimate is only an estimate and that actual items, services, or charges may differ from the Good Faith Estimate.

You have the right to receive a Good Faith Estimate for the total estimated cost of any non-emergency items or services, including therapy and counseling sessions.

Make sure your health care provider gives you a Good Faith Estimate in writing at least 3 business days before your medical service or first scheduled therapy session. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an appointment or service.

If you receive a bill that is $400 more than your Good Faith Estimate, you can dispute the bill. See the terms, conditions and disclaimer on the estimate.

Make sure to save a copy of your Good Faith Estimate. It is good for one year from the date it was issued. A new Good Faith Estimate will be issued to you annually or at your request, should your frequency of sessions or rates change.

For questions or more information about your right to a Good Faith Estimate, visit
www.cms.gov/nosurprises or call eTalkTherapy, LLC at 412-748-0443.