Good Faith Estimate

Under Section 2799B-6 of the Public Health Service Act, health care providers and

health care facilities are required to inform individuals who are not enrolled in a plan or

coverage or a Federal health care program, or not seeking to file a claim with their plan

or coverage both orally and in writing of their ability, upon request or at the time of

scheduling health care items and services, to receive a “Good Faith Estimate” of

expected charges. The GFE shows the costs of items and services that are reasonably

expected for services provided by JJ Counseling. The estimate is based on information

known at the time the estimate was created. It does not take into account any

reimbursement that you may receive as a result of out-of-network benefits submitted

directly by you.

Under the law, health care providers need to give patients who don’t have insurance or

who are not using insurance an estimate of the expected charges for medical services,

including psychotherapy services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.
You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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.

Depending on when you begin therapy will determine your cost. Example: $160 per

session, 1 session per week for 52 weeks totals $8320. Please adjust according to

when you began counseling and how many sessions per week.

If you would like a Good Faith Estimate with services agreed upon, please reach out to