What This Means If You're Paying Out of Pocket
If you're uninsured, or you're choosing not to bill your insurance for therapy with Fuller Counseling Group, you're entitled to a written estimate of what your care is expected to cost before your first session — not just a general session rate, but an estimate based on your actual anticipated course of treatment.
Good Faith Estimate & No Surprises Act Notice
Your Right to a Good Faith Estimate
Under federal law, health care providers must give patients who don't have insurance, or who aren't using their insurance, an estimate of expected charges before receiving care.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services, including therapy sessions.
You can request a Good Faith Estimate before scheduling an item or service, or at any time during treatment.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill.
Keep a copy of your Good Faith Estimate in a safe place.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.
How and When You'll Receive Your Estimate
When you schedule: You'll receive a written Good Faith Estimate within 1–3 business days of scheduling your first appointment, depending on how far in advance it's scheduled.
On request: You can request a Good Faith Estimate at any time — even before scheduling — and you'll receive it within 3 business days of asking.
If your treatment changes: If your anticipated course of care changes significantly (for example, moving from weekly to twice-weekly sessions), you're entitled to an updated estimate.
Format: Your estimate will be provided in writing, in a format you can keep and print, and reviewed with you verbally as well.
What's Included
Your Good Faith Estimate will include:
The services expected to be provided (e.g., individual therapy, couples counseling)
The estimated cost per session and expected frequency
The estimated total cost over the anticipated treatment period (up to 12 months)
Provider name, NPI, and practice information
This Is Not a Bill
A Good Faith Estimate is not a bill or a contract. It doesn't obligate you to receive services from Fuller Counseling Group, and it isn't a guarantee of your final cost — actual charges may vary depending on your specific needs and how your treatment unfolds.
Your Dispute Right
If your actual bill is $400 or more above your Good Faith Estimate, you have the right to dispute the charge through the federal Patient-Provider Dispute Resolution process — at no cost to you. You must start the dispute process within 120 calendar days of receiving the original bill.
To learn more or start a dispute, visit www.cms.gov/nosurprises or call 1-800-985-3059.
Questions?
If you have questions about your Good Faith Estimate or would like to request one, contact us: