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Notice Under No Surprise Act


Under the No Surprise Act section of the Public Health Service Act, healthcare facilities and healthcare providers need to give patients who don’t have insurance or who are choosing not to use their insurance (including patients who are choosing not to file a claim with their insurance for an out of network provider via superbill) an estimate of the expected charges for medical services, including psychotherapy services, at the time of scheduling healthcare items and services - a Good Faith Estimate. As noted, though the Act was intended as consumer protection against unexpected/unauthorized hospital bills, it is written in such broad language as to potentially include behavioral health therapists and mental health therapists in private practice. 

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. 

Your healthcare provider needs to give you a Good Faith Estimate in writing at least one (01) business day prior to your scheduled medical item or service. You may ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you may dispute the bill. Save a copy or picture of your Good Faith Estimate.

This means that you are entitled to receive a Good Faith Estimate explaining your session fees and estimated/expected costs for assessment, evaluation, psychological counseling, and/or psychological therapy prior to your first session. Accordingly, if we begin working together, you will receive a Good Faith Estimate in writing detailing your estimated/expected costs. Please let us know if you have any questions about your estimated/expected costs.

Please note that as Ēvolvere Psychology Incorporated publishes our services and rates, is transparent about our services and rates prior to, during, and following scheduling, through the time of service, and bills within (01) business day of completion of service, you should not receive a surprise bill from our practice.

Services and Rates button linking to Client Services and Rates Guide PDF, to open in new tab

For further information about your right to a Good Faith Estimate, as well as information about how to dispute a bill, you can visit the website of the United States Government.





Last modified 20 July 2023

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WESTLAE VILLAGE, CALIFORNIA

Ēvolvere Psychology is a boutique psychology practice providing tailored care for the betterment of your health, wellness, and wellbeing, including psychological assessment, evaluation, diagnosis, coaching, counseling, and psychotherapy.

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Dr. Meagan Guenther

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