Empowering Change with Mindful Vibrance

Beginning January 1, 2022, the No Surprises Act protects you from unexpected medical bills. If you are uninsured or paying out-of-pocket, you have the right to receive a Good Faith Estimate (GFE) of expected therapy costs before starting services.

What You Need to Know

• You can request a written estimate of fees before scheduling or at any time during treatment.
• The estimate will include session      fees and projected costs.
• A GFE is not a contract—your      total cost may change if your needs or length of therapy change.
• If your bill is $400 or more above the estimate, you may dispute the charge.

Your Rights

• Request a GFE in writing at any time.
• Keep a copy for your records.
• To learn more or dispute charges, call 1-800-985-3059 or visit www.cms.gov/nosurprises.

Our Commitment

I value transparency and trust. You will receive a Good Faith Estimate upon request or before your first self-pay session so you can make an informed decision about your care.