Good Faith Estimate

The short version

  • You have the right to a written estimate of what your care will cost, before your appointment.
  • Just ask, and we’ll provide one.
  • If a bill comes in at least $400 over the estimate, you can dispute it.

Your right to a Good Faith Estimate

Under the No Surprises Act, you have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like psychotherapy and any related services.

You are entitled to a Good Faith Estimate in writing before your appointment. You can also ask for a Good Faith Estimate before you schedule an item or service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.

Request an estimate

To request a Good Faith Estimate for services with Rebecca Gotterer LCSW LLC, reach out through our contact form or by phone at 973-433-6889.