Good Faith Estimate

🌿 Your Right to a Good Faith Estimate

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.

You may request a Good Faith Estimate before scheduling a service or at any time during treatment.

🌿 If You Receive a Bill Higher Than Your Estimate

If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill.

You can learn more about your rights by visiting:
👉 www.cms.gov/nosurprises

🌿 Questions or Requests

If you have any questions about your Good Faith Estimate or would like to request one, please reach out:

Horizon Counseling Group
📧 info@horizoncounselingla.com
📞 424-265-3730