Good Faith Estimates

Last updated December 5, 2023

You have a right to receive a “Good Faith Estimate” explaining how much your health care will cost.

Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who or not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.

• You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

• Your healthcare provider should provide a Good Faith Estimate to you at least one day before the scheduled appointment. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.

• If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.

• Make sure to save a copy or picture of your Good Faith Estimate and the bill.

Providers are currently required to provide GFEs only to those private pay clients who are not using insurance benefits or superbills.  If/when this requirement changes, Pathos Counseling will update this policy accordingly. 

For questions or more information about your right to a Good Faith Estimate, use the following resources: 

Website: www.cms.gov/nosurprises/consumers

Email: FederalPPDRQuestions@cms.hhs.gov

Phone: 1-800-985-3059