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In accordance with the No Surprises Act this practice provides a Good Faith Estimate to self-pay clients & clients choosing to use their out-of-network insurance benefits.
It is noted under this Federal law that healthcare providers, including mental health therapists, must provide clients who either do not have insurance, utilize their out of network insurance or choose to self pay despite having coverage an estimate of the expected charges for services. You can learn more about the No Surprises Act at:
As a general note, your total cost of services (Good Faith Estimate) will depend upon the number of sessions you attend and the length of those sessions (60minutes or 45minutes). However, cost can be calculated by multiplying the session cost by the number of sessions attended.
Also, as no diagnosis can be provided until after the completion of an initial/intake session the "no diagnosis" code Z03.89 will be included on the GFE notice. Following the assessment a therapeutic diagnosis will be made and the corresponding diagnostic code determined. The change in diagnostic code will not alter the self pay rates as established.
Note: late cancellation/missed session fees, unscheduled 'crisis' calls, paperwork requests or court/legal fees, if applicable, will impact your total overall costs.
The Good Faith Estimate in its entirety will be provided prior to the intake session.
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