
Good Faith Estimate Notice
Last Updated: March 11, 2026
Under the No Surprises Act, healthcare providers are required to provide clients who are not using insurance with an estimate of the expected cost of services.
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If you do not have insurance or choose not to use your insurance for mental health services, you have the right to receive a Good Faith Estimate explaining how much your medical care will cost.
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What Is a Good Faith Estimate?
A Good Faith Estimate is a written estimate of the expected charges for healthcare services. For mental health services, this estimate may include:
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Initial intake or evaluation sessions
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Individual therapy sessions
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Family or couples therapy sessions
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Other related services that may be recommended as part of your care
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The estimate will outline the expected costs based on the information known at the time it is provided.
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Your Rights
You have the right to receive a Good Faith Estimate if you are:
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Not using insurance for services
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Paying for services yourself (self-pay)
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You may request a Good Faith Estimate before scheduling a service or at any time during treatment.
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If Your Bill Is Higher Than Your Estimate
If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill.
Information about the dispute process and how to file a complaint will be included with your Good Faith Estimate.
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Requesting a Good Faith Estimate
To request a Good Faith Estimate or ask questions about therapy costs, please contact:
Compassion Mental Health Counseling
59 Landing Avenue, Suite 5, Smithtown, NY 11787
631-681-6872