Good Faith Estimate
Last updated May 11, 2025
You have the right to receive a “Good Faith Estimate” explaing how much your medical care, including mental health care, will cost.
KonTerra Counseling & Psychological Services LLC adheres to the regulations outlined in the ‘No Surprises Act,’ effective as of January 1, 2022. This legislation mandates that mental health practitioners provide a ‘Good Faith Estimate’ (GFE) to uninsured individuals or those choosing to opt out of insurance coverage for mental health services.
The goal of our Good Faith Estimate is to transparently outline the anticipated costs associated with your mental health care treatment. It is based on the information available at the time of estimation and does not include unforeseen expenses that may arise during treatment.
You have the right to receive a Good Faith Estimate detailing potential charges for psychotherapy services. While we cannot predict the exact number of sessions required at the outset of therapy, this estimate offers valuable insight into service costs. Your total expenditure will depend on factors such as session frequency, your individual circumstances, and the type and extent of services provided.
In general on a Good Faith Estimate, a diagnosis may be recorded along with the pricing information, but it's impossible and unethical to diagnose you without having met you, or without your consent, so if you would like a diagnosis, please initiate a conversation with your therapist about whether and how you meet the criteria for a clinical diagnosis. Your diagnosis does not determine the number of sessions you will need.
A good faith estimate is not a contract and does not require you to obtain the items or services from any of the providers or facilities identified in the good faith estimate.
Your out of pocket cost will never be more than the cost listed on KonTerra Counseling & Psychological Services website FAQs page. A good faith estimate aims to make healthcare costs more transparent because it helps you understand the costs associated with your treatment. It also empowers you to make informed choices about your care because you can explore alternative options and budget for healthcare expenses.
The No Surprises Act establishes the following rights and responsibilities:
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services
Your health care provider has the responsibility to provide you with a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also request a Good Faith Estimate from a healthcare provider 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.
For questions or additional information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059.
If you have questions about your financial responsibility, please contact contact@konterracounseling.com or speak with your clinician.