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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.

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.

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

The estimate will outline the expected costs based on the information known at the time it is provided.

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)

You may request a Good Faith Estimate before scheduling a service or at any time during treatment.

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.

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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