Good Faith Estimate

Hope Seed Estimate

Good Faith Estimate 

You have the right to receive a “Good Faith Estimate” explaining how much your counseling care will cost. 

Under the law, mental health care providers are required to give clients who don’t have insurance or are not using insurance an estimate of the bill for mental health, wellness, and other services. 

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This Good Faith Estimate shows the costs of services reasonably expected for your mental health care needs. The estimate is based on information known when the estimate was created. This estimate does not include any unknown or unexpected costs that may arise once the service begins. 

You can also ask your mental health provider and any other provider you choose for a Good Faith Estimate before scheduling an item or service. 

If you receive a bill at least $400 more than your Good Faith Estimate, you can dispute the bill. To do this, don’t hesitate to get in touch with our office at hopeseedhouston@gmail.com  

If this is not resolved satisfactorily, you can start a dispute resolution with the U.S. Department of Health & Human Services (HHS). You must begin this process within 120 calendar days of the date of the original bill. There is a $25 fee to use the HHS dispute process. If the agency agrees with you, you will pay the amount on this estimate. If the agency disagrees with you, you will pay the higher billed amount to the health care provider. To learn more or start the process, go to: www.cms.gov/nosurprises.

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