Good Faith Estimate

Effective Date: October 13, 2026

Your Right to Receive a Good Faith Estimate

Under federal law, individuals who do not have health insurance or who choose not to use their insurance to pay for services have the right to receive a Good Faith Estimate explaining the expected cost of their care.

You may receive a Good Faith Estimate when you schedule services at least three business days in advance, or you may request one before scheduling. The estimate will be provided in writing and will describe the services reasonably expected during the specified period of care and their anticipated charges.

If you receive a bill from a provider or facility that is at least $400 more than the amount listed in that provider’s Good Faith Estimate, you may be eligible to dispute the bill through the federal patient-provider dispute resolution process.

Keep a copy of your Good Faith Estimate so you can compare it with future bills. To request an estimate from Lines + Perspectives Psychotherapy, please submit a consultation request or contact the practice directly.

For more information about your right to a Good Faith Estimate or the dispute process, visit cms.gov/nosurprises/consumers or call 1-800-985-3059.