Practice Information
Good Faith Estimate
Your Right to Receive an Estimate of Expected Charges
Under the federal No Surprises Act, health care providers are generally required to provide individuals who do not have insurance or who are not using insurance with an estimate of the expected charges for scheduled health care services.
If you are receiving counseling services from Haven of Hope Counseling as a private-pay client, you may be entitled to receive a Good Faith Estimate of the anticipated cost of your care.
Your Good Faith Estimate will include information about the expected charges for services that are reasonably anticipated at the time the estimate is prepared.
Because counseling is individualized, it is not always possible to determine in advance exactly how many sessions a client will need or choose to attend. The frequency and duration of counseling may change based on your individual needs, treatment goals, progress, preferences, and clinical recommendations.
The Good Faith Estimate is an estimate and is not a contract. You are not required to receive a particular number of counseling sessions simply because they are included in an estimate.
If Your Bill Is Higher Than Expected
If you receive a bill that is substantially higher than your Good Faith Estimate, federal law may provide options for disputing the charges.
For additional information about your rights under the No Surprises Act and the federal patient-provider dispute resolution process, visit the official Centers for Medicare & Medicaid Services (CMS) website.
Questions?
If you have questions about fees or your Good Faith Estimate, please contact:
Haven of Hope Counseling
Lisa Hathaway, MBA, MA, LCMHC
Licensed Clinical Mental Health Counselor