Your Right to Receive a Good Faith Estimate

Under the No Surprises Act, health care providers are required to provide individuals who are not using insurance—or who choose not to use their insurance—with a Good Faith Estimate of the expected charges for medical and mental health services.

You have the right to receive a Good Faith Estimate explaining the anticipated cost of your counseling services before you begin treatment.

A Good Faith Estimate includes an estimate of the expected costs for services that are reasonably anticipated as part of your care. Actual charges may differ if your treatment needs or circumstances change over time.

You may request a Good Faith Estimate before scheduling services or at any point during treatment.

Questions or Disputes

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

Additional information about your rights under the No Surprises Act is available from the Centers for Medicare & Medicaid Services at:

https://www.cms.gov/nosurprises

Counseling Services

Good Faith Estimates apply to professional counseling services provided by Kelsey Garner, M.Ed., LCMHC.

Current fees are discussed prior to beginning treatment and are also outlined in the informed consent documents provided before your first appointment.

Executive Coaching

Executive coaching services are not healthcare services and are not subject to the No Surprises Act. Coaching fees and payment policies are reviewed prior to the start of a coaching engagement.

Questions

If you have any questions regarding fees or would like to request a Good Faith Estimate, please contact:

Kelsey Garner, M.Ed., LCMHC
[email protected]