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Good Faith Estimate

Under the federal No Surprises Act, if you’re uninsured or choosing not to use insurance, you’re entitled to receive a Good Faith Estimate (GFE) of expected charges for your non‑emergency mental health services.

When You’ll Receive It

  • Within 1 business day if your session is scheduled 3–9 business days out

  • Within 3 business days if scheduled 10+ days in advance or upon request

  • Provided in writing — via email or print — before your appointment

What It Includes

  • Your name and date of birth

  • Description of the primary service (e.g., 55‑minute therapy session), with date if applicable  

  • Itemized, estimated charges, including all reasonably expected services  

  • Our company name, NPI, TIN, and service location(s)  

  • Total estimated cost, valid for up to 12 months unless services change

Important Notices

  • It’s an estimate, not a contract. Actual charges may differ if treatment is unpredictable.  

  • If your final bill exceeds the estimate by $400 or more, you can file a dispute through our office or the federal Patient–Provider Dispute Resolution process.  

  • You’ll have 120 days from the billing date to initiate a dispute, and starting a dispute won’t affect your care.

Why This Matters

The GFE helps you understand costs upfront, avoid surprise billing, and gives you the tools to challenge unexpected charges under federal law.  

How It Works in Practice

For new or ongoing care, we’ll provide a single GFE covering the anticipated course of treatment—up to 12 months—including frequency and estimated number of sessions. If your plan changes, we’ll issue an updated GFE at least 1 business day before the new appointment.  

What You Should Do

  1. Save your GFE (email or print).

  2. Compare your final bill with your estimate.

  3. If it’s more by $400+, contact us or initiate a federal dispute.

  4. We’re happy to walk you through the process anytime.

Questions?

Reach us at 970-236-8932 or intake@groundedlightcounseling.com — we’re here to help you understand your estimate and your rights.