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    Your Good Faith Estimate

    Guide

    Your Good Faith Estimate

    Since 2022, a federal law called the No Surprises Act has required healthcare providers — including therapists — to give uninsured and self-pay clients a clear, written estimate of expected costs. That document is called a Good Faith Estimate, and it exists so that you are never left guessing what care will cost. Here is what it means for you, in plain English.

    What the Estimate Is

    A Good Faith Estimate is a written document that lays out the expected cost of your care before you commit to it. It includes my fees and a reasonable projection based on how long we expect to work together. Because therapy does not run on a fixed schedule — some people come for a few months, some for longer — the estimate is a good-faith projection, not a contract for a set number of sessions.

    You receive it when we begin, and an updated one if circumstances change. You are entitled to ask questions about it, and to a new estimate if your care shifts.

    What It Protects You From

    The spirit of the law is simple: no surprise bills. You should know the cost of your care in advance, in writing, in language you can read. If anything about fees is ever unclear — session costs, the 24-hour cancellation policy under which late cancellations are charged, or anything else — you have every right to ask, and asking is welcome.

    If a Bill Exceeds the Estimate

    The law has teeth, and you should know where they are. If you receive a bill that is $400 or more above your Good Faith Estimate, you have the right to dispute it through a formal process called the patient-provider dispute resolution process. There are time limits for starting that process, so keep your estimate document — it is the comparison point.

    You can also simply talk to me first. Billing surprises are usually misunderstandings, and misunderstandings are fixable. The estimate exists to protect you; use it.

    Sharon Meyers is a Licensed Clinical Social Worker offering telehealth sessions to adults located anywhere in California.

    No surprises is the point.

    Questions about fees or your estimate are always welcome — reach out anytime.

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