Good Faith Estimate Notice

Temperance Psychotherapy LLC

You have the right to receive a “Good Faith Estimate” explaining the expected cost of your care.

What This Means

Under federal law, healthcare providers are required to give clients who are not using insurance an estimate of expected charges for services.

This applies to all private pay (out-of-network) therapy services.

What’s Included in a Good Faith Estimate

Your estimate will include:

• The cost per session

• The type of services you may receive

• An estimate of how many sessions may be recommended

Because therapy is individualized, the total cost will depend on your specific needs and how long you choose to continue.

When You’ll Receive It

You’ll receive a personalized Good Faith Estimate:

• After reaching out and scheduling

• Before your first session

• Or upon request at any time

Your Rights

You have the right to:

• Receive a Good Faith Estimate before starting services

• Ask questions about your estimate

• Request an updated estimate if your needs or frequency change

If you receive a bill that is at least $400 more than your estimate, you may have the right to dispute it.

Questions

If you have any questions about fees or your estimate, you’re always welcome to reach out through the contact page.