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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:

  • Initial intake or evaluation sessions

  • Individual therapy sessions

  • Family or couples therapy sessions

  • 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:

  • Not using insurance for services

  • 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

CompassionMHC@gmail.com

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