Good Faith Estimate

​Starting January 1, 2022, Federal law requires mental health providers to provide an estimate of costs of services to private pay clients known as a "good faith estimate".

Forest

My standard rate is $150 for a 55-minute session.

This estimate is the range of costs that is likely for most new private-pay patients. Until we meet for a first session and we start to work together, I will not have a clear picture of your specific issues and needs from therapy. I typically see therapy clients for a time period ranging from 10 - 60 sessions for a total cost ranging from  $1,500 -$9,600. Please note I require payment at the time of service, meaning you would pay for one session at a time. You will not be asked to pay ahead for future therapy sessions.

 

I typically see clients on a weekly or twice a month basis until they meet their goals. In some cases, clients meet their initial goals and then want to work on additional goals, in which case the number of therapy sessions might be more than estimated here.

Typical struggles I work with include (but are not limited to):
Depression

Anxiety

Panic Attacks

Highly Sensitive People (HSPs)
Shame

Relationship Struggles

Discrimination

LGBTQ+ Experiences (individuals, relationships, families)

Gender and Sexuality​​

 


Disclaimer
This Good Faith Estimate shows the costs of services that are reasonably expected for the expected services to address your mental health care needs. The estimate is based on the information known to me when I conduct the estimate. When we meet, my initial intake process typically takes 1-2 sessions during which we formulate goals based on your experiences, strengths, stressors, and environment/context, which will help guide a more informed plan for our work.

The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, I will give you a new estimate for services. The Good Faith Estimate also does not include any no-show or late cancellation fees, which are $100 per session. Please ask me if you have questions about these fees.

This Good Faith Estimate is not a contract. It does not obligate you to accept the services listed above. The information provided in the Good Faith Estimate is only an estimate, as actual items, services, or charges may differ. 
 
Your Rights
Federal law allows you to dispute (appeal) the bill if its over $400 of the most current estimate. Thus, If you are billed $400 or more than the most current Good Faith Estimate, you have the right to dispute the bill.

You may contact me to let me know the billed charges are higher than the Good Faith Estimate. You can ask me to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.

You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.

There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.

To learn more and get a form to start the process, go to:
www.cms.gov/nosurprises or call CMS at 1-800-985-3059.