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Good Faith Estimate Notice
Your Well Balanced Life Therapy & Life Coaching
Under the No Surprises Act, you have the right to receive a Good Faith Estimate explaining the expected cost of your medical and mental health services.
If you are not using insurance for psychotherapy services, you may request a written estimate of anticipated charges before scheduling services or at any time during your care.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the charge.
For more information about your rights, please visit www.cms.gov/nosurprises or call 1-800-985-3059.
To request a Good Faith Estimate for psychotherapy services, please contact me and I will provide one.
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