Good Faith Estimate

Under the No Surprises Act, health care providers are required to give uninsured and self-pay clients a Good Faith Estimate of expected charges for scheduled services.

Your Right to a Good Faith Estimate

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. This estimate will include expected charges for the scheduled service and any other items or services reasonably expected to be provided as part of the scheduled service.

How to Request an Estimate

To request a Good Faith Estimate before scheduling services, please contact our office at (847) 780-0055. We will provide you with a written estimate within specific timeframes as required by law.

If You Receive a Bill

If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.