Your Right to Receive a Good Faith Estimate
Under the federal No Surprises Act, healthcare providers are required to give clients who do not have insurance—or who have insurance but choose not to use it—an estimate of the expected cost of their care.
If you are uninsured or paying for therapy without using insurance, you have the right to receive a personalized Good Faith Estimate explaining the anticipated cost of your psychotherapy services.
Current Fees
Warm Start: 55 minutes | $150
Ongoing Sessions: 55 minutes | $150
Focused Check-Ins: 30 minutes | $80
Extended Sessions: 90 minutes | $240
Intensive Sessions: 120 minutes | $330
Psychotherapy is individualized and often open-ended. The number, frequency, and length of sessions will depend on your needs, preferences, treatment goals, progress, and scheduling decisions.
Your personalized Good Faith Estimate will be based on the services and frequency reasonably anticipated at the time the estimate is prepared. It may cover up to 12 months of services. You are responsible only for services you receive and any applicable cancellation or missed-appointment charges described in the practice’s financial policies.
When You Will Receive an Estimate
If you schedule a service at least 3 business days in advance, a Good Faith Estimate will be provided within the timeframe required by federal law:
If a service is scheduled 3–9 business days in advance, the estimate will generally be provided within 1 business day after scheduling.
If a service is scheduled 10 or more business days in advance, the estimate will generally be provided within 3 business days after scheduling.
If you request an estimate before scheduling, it will generally be provided within 3 business days of your request.
You may request a Good Faith Estimate at any time before scheduling, before beginning services, or during treatment.
Changes to Your Estimate
Because psychotherapy needs can change, your actual services or charges may differ from the original estimate. A revised Good Faith Estimate may be provided if there is an anticipated change in your fees, type of service, session length, frequency, duration, or overall course of care.
Additional healthcare services that are not provided by Dr. Ev’s Oasis—including medical care, psychiatric services, medication management, psychological testing, laboratory services, hospitalization, or emergency care—are not included in an estimate from this practice. Those providers are responsible for providing their own estimates when applicable.
A Good Faith Estimate is not a contract. It does not require you to begin therapy, attend a particular number of sessions, continue treatment for a specific period, or receive services from this provider.
Your Right to Dispute Certain Charges
If a provider or facility charges you at least $400 more than the amount listed in its Good Faith Estimate, you may be eligible to use the federal Patient-Provider Dispute Resolution process.
Beginning a dispute will not adversely affect the quality of your care.
Keep a copy of your Good Faith Estimate and all bills you receive. For information about Good Faith Estimates and the dispute process, visit:
Learn about your medical-billing rights at CMS.gov
To request a personalized Good Faith Estimate from Dr. Ev’s Oasis, please contact the practice through the website’s contact form or using the contact information provided below.