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⚠ Draft — not yet legally reviewed. This page is provided as a starting structure for Compass Mental Health Services and must be reviewed and finalized with the practice’s own legal / compliance resource before launch. It is not legal advice, and the placeholder text below does not represent a complete or binding notice.

Your Right to a Good Faith Estimate

Under the federal No Surprises Act, health-care providers must give clients who are uninsured or who choose not to use insurance an estimate of the expected cost of care.

What this means for you

  • You have the right to receive a Good Faith Estimate explaining how much your care is expected to cost.
  • You can ask for a Good Faith Estimate before you schedule, or at any time during care.
  • Our standard self-pay rate is $130 / session; your estimate will reflect the services you and your therapist plan.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you may be able to dispute the charges.
  • Keep a copy of your Good Faith Estimate for your records.

How to request one

Ask your therapist, or contact our office at (307) 254-3407. [Placeholder — confirm the request process and any written-notice timing requirements with the practice.]

For more information about your rights under the No Surprises Act, visit www.cms.gov/nosurprises or call the federal No Surprises Help Desk at 1-800-985-3059.

[Placeholder — the practice to confirm the exact required written-notice language and delivery timing (federal rules generally require the estimate in writing within specified timeframes once a service is scheduled or requested) with its own legal/compliance resource.]