Good Faith Estimate

Beginning on January 1, 2022, the No Surprises Act (H.R. 133) went into effect. This requires health care providers (therapists) to provide clients a Good Faith Estimate (GFE) based on information known at that time, detailing expected costs for services. 

The intention of this regulation is to prevent people from receiving "surprise" or unanticipated medical bills for treatment. It also provides an estimate of costs prior to participating in therapy.  

The GFE does not include unforeseen costs that might arise, such as more sessions due to a crisis or less sessions following sickness. There are factors that make it difficult to determine the exact length of treatment - for instance: therapy goals, complexities of symptoms, progress etc. Some clients are happy to end treatment when they feel better, whereas others feel more comfortable titrating down from weekly to bi-monthly sessions. Despite a GFE and timelines being discussed, the client can end therapy at any time.

You may dispute a bill that is at least $400 more than your GFE. To learn more or get a form for this process, go to

I will provide you with a GFE both verbally and in writing prior to our first session. Please print a copy or take a picture of your GFE for your records. 

Good Faith Estimate Example for Individual Clients

Individual Session (50 min) = $180

Weekly Sessions for 48 weeks = $8640

Bi-Monthly Sessions for 48 weeks = $4320

This example provides a general snapshot of expected financial costs for a year. However, the duration and frequency of treatment will vary on an individual basis. I am happy to discuss this further if you have any questions at all.