Good Faith Estimate

Under the Public Health Services Act that went into effect in January of 2022, I am required by law to inform you of your rights regarding Good Faith Estimates for the cost of your mental health services.

You have the right to ask me or any other health care provider you choose, for a Good Faith Estimate before you schedule a service.  However, you must receive a Good Faith Estimate in writing at least 1 business day before your scheduled medical service or item when scheduled three days in advance and at least 3 business days prior to your appointment when scheduled 10 days in advance.

What you will receive in your GFE:

You will receive a written Good Faith Estimate (GFE) that includes an estimate of services (type of therapy/estimate of frequency) and estimated costs for those services for a 12 month period.

Due to the extremely unique and individually tailored structure of psychotherapy, it is impossible to predict the duration or frequency of your personal therapy.  The fees I charge are predictable and transparent— designed to help you anticipate and plan the cost of your healthcare services with Ellie Rose Therapy.

Your estimate is not a contract. You are not obligated to receive services from me. At any time, you may discontinue services and I can provide you with alternative referrals at your request.

For questions or more information about your rights and Good Faith Estimates, please visit cms.gov/nosurprises.