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No Surprises Act &
Good Faith Estimates

Information

A client has the right to be provided a Good Faith Estimate to protect a client from unanticipated costs of therapy.  A Good Faith Estimate shows the costs of services that are reasonably estimated for the expected services to address a client's mental health care needs. The estimate is based on the information known to the counselors at The Counseling Space when the estimate is completed.

The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. A client could be charged more if complications or special circumstances occur. If this happens, federal law allows clients to dispute (appeal) the bill.  If a client is billed for more than this Good Faith Estimate, the client has the right to dispute the bill.

A client may start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If a client chooses to use the dispute resolution process, the client must start the dispute process within 120 calendar days of the date on the original bill.

There is a $25 fee to use the dispute process. If the agency reviewing the dispute agrees, clients will have to pay the price on the Good Faith Estimate. If the agency disagrees with the client and agrees with the health care provider or facility, the client will have to pay the higher amount.

The Good Faith Estimate is not a contract. It does not obligate clients to accept the services from The Counseling Space.

Learn more

For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call (800) 985-3059.

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