Good Faith Estimate

New Heights Counseling is committed to providing clear and transparent information about the cost of your mental health care. Under the No Surprises Act, you have the right to receive a "Good Faith Estimate" explaining the expected charges for your services.

What is a Good Faith Estimate?

A Good Faith Estimate is a document that outlines the estimated cost of your mental health therapy services for client that self-pay. This includes:

• Initial assessment

• Individual therapy sessions

• Consultations

Mental health therapy involves working with a licensed mental health professional to address various mental health concerns, such as anxiety, depression, trauma, and relationship issues, through evidence-based practices like talk therapy.

This estimate is intended to help you understand the anticipated cost of your care and make informed decisions about your treatment. It is not, however, a guarantee of the final cost of services, as the actual cost may vary depending on your individual needs and the duration of therapy.

When Will I Receive a Good Faith Estimate?

You can request a Good Faith Estimate at any time. We will also provide you with one at your first scheduled appointment.

What if My Bill is Higher Than the 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.

Here's what you can do:

• Contact us at 385-449-0150 to discuss the charges.

• Learn more about your rights and the dispute process at www.cms.gov/nosurprises.

Need More Information?

If you have any questions about the Good Faith Estimate or your rights under the No Surprises Act, please don't hesitate to contact us at 385-449-0150.

Please Remember to keep a copy of your Good Faith Estimate for your records.