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title: "Good Faith Estimate · Psi Wellness Inc."
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Psi Wellness Inc.

# Your Right to a Good Faith Estimate

**Under the No Surprises Act**

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 services, including psychotherapy.
-   You will receive a Good Faith Estimate **automatically when you schedule** a service (at least 1 business day before the service, or within 3 business days for services scheduled further out) — and you can also **ask for one at any time** before scheduling.
-   If you receive a bill that is at least **$400 more** than your Good Faith Estimate, you can **dispute** the bill through the federal patient-provider dispute-resolution process **within 120 days** of the bill's date.
-   Make sure to **save a copy** of your Good Faith Estimate.

To request a Good Faith Estimate, contact **admin@psiwellnessinc.com**. For questions or more information about your right to a Good Faith Estimate, visit **cms.gov/nosurprises** or call **1-800-985-3059**.

_This notice is provided to comply with the No Surprises Act and is for informational purposes._

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