Your Rights and Protections Against Surprise Medical Bills

Good Faith Estimate Notice

Under the No Surprises Act (effective January 1, 2022), you have the right to receive a Good Faith Estimate explaining how much your medical and mental health care will cost.

Good Faith Estimate for Uninsured and Self-Pay Clients

If you are uninsured or choosing not to use insurance, you have the right to receive a Good Faith Estimate (GFE) of expected charges for therapy or counseling services.

  • You will receive a written estimate of expected costs before your first session or upon request.

  • The estimate will include expected charges for services you schedule and any related costs.

  • If your actual charges exceed the Good Faith Estimate by $400 or more, you have the right to dispute the bill.

How to Request a Good Faith Estimate

  • You can request a Good Faith Estimate at any time before scheduling a session.

  • If you would like an estimate, please contact contact@tenoncollective.com.

Dispute Process

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

  • Contact the provider to discuss the charges.

  • If unresolved, you may file a dispute with the U.S. Department of Health and Human Services (HHS) within 120 days of receiving the bill.

  • Visit www.cms.gov/nosurprises or call 1-800-985-3059 for more information.

  • For more details about your rights under the No Surprises Act, visit www.cms.gov/nosurprises.