Good Faith Estimate
Good Faith Estimates and the “No Surprises” Act
(A copy of this notice is also available in our office or from your therapist.)
As of January 1, 2022, all healthcare providers are required to provide a Good Faith Estimate to anyone receiving services who is not using insurance or does not have insurance for those services.
The No Surprises Act was created to protect clients from receiving unexpected bills from out-of-network providers and to make the costs of services more transparent and understandable.
Your Rights Under the No Surprises Act:
You have the right to receive a Good Faith Estimate explaining how much your services will cost.
Healthcare providers are required to give patients without insurance or who are not using insurance an estimate of the bill for services.
You should receive a Good Faith Estimate in writing at least one (1) business day before your scheduled service.
If your bill is at least $400 more than your Good Faith Estimate, you have the right to dispute it.
Be sure to save a copy or picture of your Good Faith Estimate for reference.
How This Applies to You at The Therapy Office
At The Therapy Office, all fees are transparent and reviewed with you before your first session. These fees are outlined in the Consent and Disclosure document, which you review and sign prior to starting therapy.
You only pay for one session at a time and are not obligated to pay for future sessions until the cancellation window (24 hours prior to your appointment) is reached.
You are never obligated to schedule or attend additional sessions.
If there are any changes to your recommended services or costs (including referrals), you will be fully informed beforehand.
Should you be referred to a provider outside of The Therapy Office, you are under no obligation to work with them.
Understanding Your Good Faith Estimate
Your Good Faith Estimate will include the following:
Any diagnosis provided during your therapy sessions (if applicable).
The services your therapist recommends.
The estimated frequency of those services.
An estimate of the total cost for services.
In mental health, it can be challenging to provide a precise Good Faith Estimate due to several factors:
Diagnoses often require time to be fully understood and may not always be applicable to every client.
The duration of therapy varies greatly depending on the client’s individual needs, goals, and progress.
Therapy is a collaborative process, and many clients adjust the frequency of sessions or decide to continue therapy for maintenance after achieving initial goals.
Initial Session Estimate
For your initial intake session, the cost will range depending on the service you choose. As of January 12th, 2025 the maximum cost for a self-pay, 60-minute individual intake session is $225.
After your intake session, your therapist will better understand your needs and goals and will provide you with an updated Good Faith Estimate.
Reviewing and Updating Your Estimate
You can request a review of your Good Faith Estimate at any time.
Your therapist may also initiate a review if your circumstances or therapy goals change.
Your estimate may increase or decrease depending on factors such as progress, changing life circumstances, or adjustments to your goals.
The Good Faith Estimate is valid for 12 months from the date it was last provided.
For additional information about the No Surprises Act and your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or contact the Arkansas Insurance Department at (501) 371-2600.
This notice is effective as of January 12, 2025.