Good Faith Estimate

My practice is private pay, and I believe you should understand the cost of your care before we begin. Under federal law, you have the right to receive a Good Faith Estimate of the expected charges for your therapy.

If you choose to begin working with me, I will provide your Good Faith Estimate in writing before your first session, through the client portal or by email. It will reflect the services and number of sessions we expect, along with my current fees. If my fees or your expected services change, I will give you an updated estimate.

You are welcome to request a Good Faith Estimate at any time, including before scheduling. Please contact me at jessica@emdrtherapybelair.com or 443-201-1604.

A Good Faith Estimate is not a contract, and it does not require you to receive services from me.

You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost

Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

  • If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.

  • If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.

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