Legal
Your Right to a Good Faith Estimate
Notice to Clients and Prospective Clients
You have the right to receive a Good Faith Estimate explaining how much your healthcare may cost.
Under the federal No Surprises Act, healthcare providers generally must provide patients who do not have insurance, or who are choosing not to use insurance to pay for their care, with an estimate of the expected charges for scheduled healthcare services, including psychotherapy.
This is called a Good Faith Estimate.
You Have the Right to an Estimate
If you are uninsured or intend to pay for psychotherapy services yourself without submitting the services to an insurance plan, you may ask Peter Ehrhorn Marriage and Family Therapy Professional Corporation for a Good Faith Estimate of the expected cost of your care.
You may request a Good Faith Estimate before scheduling services.
When services are scheduled sufficiently in advance, federal law may also require that an estimate be provided within specified timeframes.
The estimate will explain the reasonably expected charges for the psychotherapy services known at the time the estimate is prepared.
Because the frequency and duration of psychotherapy depend on your individual needs, preferences, treatment goals, and progress, it may not always be possible to determine in advance exactly how many sessions you will ultimately receive.
You and your therapist may periodically discuss your treatment plan, frequency of sessions, and anticipated costs.
A Good Faith Estimate is not a contract and does not require you to receive the services listed in the estimate.
If Your Bill Is Higher Than Your Estimate
If you receive a bill from a provider that is at least $400 more than the amount listed on 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 or photograph of any Good Faith Estimate you receive.
Federal rules and eligibility requirements apply to the dispute process.
Requesting an Estimate
To request a Good Faith Estimate or ask questions about the cost of psychotherapy services, contact:
Peter Ehrhorn Marriage and Family Therapy Professional Corporation
Peter Ehrhorn, LMFT
1611 Borel Place, Suite 211
San Mateo, CA 94402
650-379-6249
hello@mftpete.com
Additional Information
For additional information about Good Faith Estimates, the No Surprises Act, or the patient-provider dispute resolution process, visit the Centers for Medicare & Medicaid Services' No Surprises resources.
You may also contact the No Surprises Help Desk at 1-800-985-3059.