No Surprises Act

You have the right to receive a “Good Faith Estimate” explaining how much your medical

and mental health care will cost. Under the law, health care providers need to give

patients who don’t have insurance or who are not using insurance an estimate of the

expected charges for medical services, including psychotherapy services. You have the

right to receive a Good Faith Estimate for the total expected cost of any non-emergency

healthcare services, including psychotherapy services. You can ask your healthcare

provider, and any other provider you choose, for a Good Faith Estimate before you

schedule a service. If you receive a bill that is at least $400 more than your Good Faith

Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good

Faith Estimate. For questions or more information about your right to a Good Faith

Estimate, visit www.cms.gov/nosurprises.