Good Faith Estimate-No Surprises Act Good Faith Estimate-No Surprises Act Description of the Good Faith Estimate Law As of January 1, 2022, state-licensed or certified health care providers need to give a Good Faith Estimate of healthcare charges to every new and continuing client who is either uninsured or is not planning to submit a claim to their insurance for the healthcare services they seek. 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 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 healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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. The below information will help you estimate your treatment costs. General Billing Practices & Fee Schedule at Greenlake Wellness Group The fee for a 60-minute psychotherapy visit for an established client (in-person or via telehealth) is $160. Most clients will attend one psychotherapy visit per week, but the frequency of psychotherapy visits that are appropriate in your case may be more or less than once per week, depending upon your needs. Greenlake Wellness Group does NOT charge a different fee based on diagnosis, but instead the only fee differences are based on session length, and whether or not you are participating in relationship/couples counseling: — 60-minute individual intake session = $175 60-minute individual psychotherapy session = $160 45-minute individual psychotherapy session = $140 — 60-minute relationship (more than one person present) intake session = $185 60-minute relationship (more than one person present) therapy session = $185 75-minute relationship (more than one person present) therapy session = $200 — When calculating or trying to estimate your expected cost over time you can multiple the above applicable number by the number of weeks you expect to be in therapy. Clients attending weekly therapy for one year can expect to attend, at most, 50 therapy sessions per year. Likewise, clients attending bi-weekly therapy can expect to attend at most, 25 sessions per year. You have a right to request a detailed individualized cost estimate for the year, in accordance with the new Good Faith Estimate E 2022 law. Facility Information for Greenlake Wellness Group Tax ID Number: 822542501 Group NPI: 1396306973 Individual therapist license numbers are found in their disclosure documents.
