Under No Surprises Act (NSA) any person who is not using or does not have in-network insurance benefits must receive a Good Faith Estimate (GFE) of the expected cost and estimated length of services.

These regulations were designed to prevent surprise billing in hospital emergency departments and inpatient hospital settings, but they impact all providers. If you are uninsured, have insurance but choose to self-pay, or if I am out of network for your insurance, you will receive a Good Faith Estimate for the expected cost of your sessions and an estimate of the number of sessions at least 1 day before your initial session.

The GFE is only and estimate. The services outlined reflect my estimate of what services may reasonably be expected to be provided during the estimated duration of treatment. In the course of treatment you may request and agree to additional services that are not reflected in the initial GFE.

Because the GFE is an estimate, actual items, services, or charges may differ from what you read there.

The Good Faith Estimate does not require you to obtain psychotherapy from me, nor does it obligate me to provide services to you. It is not a bill for services already provided.

The GFE is not a contract. It is an estimate of the total cost of treatment based on information I have available to me at the time that it is made. The fact that your fees may be more or less than those outlined in the GFE is not a "violation" of the estimate and does not constitute a breach of any kind.

As always, if you have questions about this or any other policy, please discuss these with me.