Good Faith Estimate

Right to Receive a Good Faith Estimate

Under the law, health care providers must give patients who do not have insurance or who are not using insurance a Good Faith Estimate of the expected charges for medical and mental health services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services. This includes psychotherapy.

What this means for you

  • If you are a private-pay client or choose not to use insurance, you are entitled to receive a Good Faith Estimate.

  • You may request a Good Faith Estimate before scheduling a service.

  • You may receive a Good Faith Estimate in writing at least 1 business day before your appointment if your appointment is scheduled at least 3 business days in advance.

  • If your billed charges are at least $400 more than your Good Faith Estimate, you may dispute the bill.

  • Make sure to save a copy or picture of your Good Faith Estimate for your records.

For questions or to request an estimate

Alight Psychotherapy LLC
Lydia Hack, MA, LMFT
Email: lydia@alightpsychotherapyak.com
Phone: (970) 430-6468

For more information about your rights under the No Surprises Act, visit:
www.cms.gov/nosurprises