GOOD FAITH ESTIMATE
*Good Faith Estimate of Expected Charges*
Understanding Your Mental Health Care Costs
We are committed to providing transparent pricing information to help you make informed decisions about your mental health care. Below, you will find an estimate of the charges you can expect for our services. Please note that these are estimates, and actual charges may vary based on your specific needs and circumstances.
What is a Good Faith Estimate?
Beginning January 1, 2022, federal laws regulating client care have been updated to include the “No Surprises” Act. This Act requires healthcare practitioners to provide current and potential clients with a “Good Faith Estimate” (GFE) on the cost of treatment. A GFE provides a detailed overview of the expected costs for mental health services you may receive. This estimate helps you understand the potential financial commitment before you begin treatment. While this estimate covers many scenarios, additional services or extended treatment may incur additional costs.
When we first make contact, either via email or phone, I will verbally provide you with GFE. In addition, this estimate will be available to you in writing, and you can access it through the Sessions Health portal. If you are a current client, I will be providing you with a GFE as well.
Estimated Costs for Services:
Initial Consultation
Service Description: Comprehensive assessment and initial consultation
Estimated Cost: $100
Individual Therapy Sessions
Service Description:One-on-one therapy sessions with a licensed associate therapist
Estimated Cost per Session:$100
Session Duration: Typically 45-60 minutes
Couples Therapy
Service Description: Therapy sessions for couples with a licensed associate therapist
Estimated Cost per Session: $100
Session Duration: Typically 60-90 minutes
Family Therapy
Service Description: Therapy sessions for families with a licensed associate therapist
Estimated Cost per Session: $100
Session Duration: Typically 60 minutes
Additional Fees
Missed Appointment Fee: Full session fee (if not canceled within 24 hours)
Late Cancellation Fee: $50 (if canceled less than 24 hours before the appointment)
Documentation Fee: Varies based on the complexity (e.g., letters, forms, reports)
Insurance and Payment Information
- I am not able to accept insurance at this time
Financial Assistance
We understand that cost can be a barrier to receiving care. Please speak with our office staff about available financial assistance programs or sliding scale fees based on your income and financial situation.
Disclaimer
The Good Faith Estimate provided is an approximation of charges based on the information available at the time of scheduling services. Actual charges may vary based on individual circumstances and specific treatment plans developed during your care. For a more detailed and personalized estimate, please contact our office directly.
Contact Us
If you have any questions or need further assistance, please do not hesitate to contact us:
Phone:(210) 239-2353
Email: cecilia@hastalaraizneurodiversityaffirming.com