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Your Right to a Good Faith Estimate

You have the Right to Receive a Good Faith Estimate of What Your Care Will Cost:

Under the No Surprises Act, you have the right to receive a "Good Faith Estimate" explaining how much your medical and mental health care will cost.

Under the law, health care providers need to give clients and patients who don't have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

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

  • Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call (800) 985-3059.

How this Works at Cultivate Your Essence:

We accept insurance. If you plan to use insurance, our administrative team will verify your benefits first and let you know what your plan obligates you to pay before we quote your out-of-pocket cost.

If you do not have insurance or choose not to use insurance for your care, we will provide a written Good Faith Estimate of your expected costs after you contact us and before your first scheduled appointment.

Our current out-of-pocket (self-pay) rates. All sessions are typically 60 minutes.

Counseling Services:

  • Individual therapy session: $130–$175

  • Couple or family therapy session: $145 (additional cost when more than 2 people are present)

  • Intake session (individuals, couples & families): $175–$200

  • Group therapy session: $75

Coaching Services:

  • Single coaching session: $250

  • 4 coaching sessions: $900

  • 3-month commitment (12 sessions): $2,295

  • 6-month commitment (24 sessions): $4,320

  • 12-month commitment (48 sessions): $8,100

A reduced-fee / sliding scale may be available in some cases — ask our team.

Because the number of sessions someone needs varies, your Good Faith Estimate will reflect an expected course of care based on your goals and will be updated if your treatment plan changes. It is an estimate, not a guarantee, of the services or costs.

Questions:

If you have questions about your Good Faith Estimate or your expected costs, please contact us:

Cultivate Your Essence

Phone: (708) 654-1929

Email: info@cultivateyouressence.com

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