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Good Faith Estimate

Your Right to a Good Faith Estimate

Under the No Surprises Act, you have the right to receive a "Good Faith Estimate" explaining how much your therapy services will cost.

 

Health care providers must give patients who don't have insurance, or who are not using their insurance, an estimate of the expected charges for services, including psychotherapy.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any therapy services, including related costs, before you schedule a service or at any time you request one.

  • Your provider will give you a Good Faith Estimate in writing at least one business day before your first appointment (or up to three business days after scheduling, depending on when your appointment is booked).

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

  • Please save a copy of your Good Faith Estimate for your records.

 

If you have questions or would like to request your Good Faith Estimate, please [contact me directly / use my contact form] before scheduling your first session.

For more information about your rights under the No Surprises Act, visit www.cms.gov/nosurprises or call 1-800-985-3059.

© 2026 Lisa Lewis Therapy · Embracing Serenity LLC · Pea Ridge, AR

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