No Surprises Act (Good Faith Estimate) — Texas, Ohio & Michigan

The No Surprises Act is a federal law that gives clients who are uninsured or self-pay (or who choose not to use insurance) the right to receive a Good Faith Estimate (GFE) of the expected cost of services.

State licensing requirements also apply. In addition to the federal Good Faith Estimate, I provide a written informed consent document that includes my current fees and payment terms, which you must review and agree to before services begin. This applies to clients located in Texas, Ohio, and Michigan.

Because therapy is individualized, it is usually not possible to predict the exact number of sessions you will need. That is determined over time based on your concerns, goals, and progress. You are free to discontinue services at any time, and services may otherwise be terminated as outlined in the informed consent agreement.

Good Faith Estimate & Dispute Process

Under the No Surprises Act, you may be eligible to start a dispute resolution process if the actual charges are substantially higher than the Good Faith Estimate (for example, $400 or more above the estimate for the same item or service).

In most cases, that situation is unlikely to occur because you will receive the actual per-session fees in writing in the informed consent agreement prior to receiving services and prior to any billing. Dispute process information is available upon request.

Fee Changes

Any changes to fees will be provided to you in writing and, when required, reflected in an updated informed consent agreement prior to the changes taking effect. If you do not agree to updated fees, the previously agreed-upon fees will remain in effect as outlined in the informed consent agreement.