Under the 2021 No Surprises Act, you have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services.

Do you have health insurance? Do you wish to use it to receive compensation for services? I do not currently bill or accept health insurance. However, your insurance plan may reimburse you for services received out-of-network. I am happy to provide you with a superbill detailing the cost of your service, but cannot act on your behalf as your representative.

Make sure your provider gives you a Good Faith Estimate in writing at least 1 business day before your service. As a clinician, I must provide you with the fee for services before therapy begins. Fees for services are different clinician to clinician depending on where they fall in the above-noted fee scale, and cannot be relied upon to account for issues like illness, emergency, scheduling conflicts, etc. I adopt annual increases of fee relative to cost-of-living increases in order to support the sustainability of my work as a clinician.

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

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or send a text message to (415) 439-0518.