Good Faith Estimate
Effective Date: October 6, 2026
Your Right to a Good Faith Estimate
Under federal law, healthcare providers are generally required to provide individuals who do not have health insurance, or who choose not to use their health insurance for care, with an estimate of the expected cost of scheduled healthcare services.
This is called a Good Faith Estimate.
Who Can Receive a Good Faith Estimate?
You generally have the right to receive a Good Faith Estimate if you do not have health insurance or have health insurance but do not intend to submit a claim or use your insurance to pay for the healthcare services you receive.
A Good Faith Estimate is not a bill.
When Will I Receive an Estimate?
If you schedule services at least three business days in advance, you generally have the right to receive a Good Faith Estimate before receiving those services.
You may also request a Good Faith Estimate before scheduling services.
The timing of your estimate depends upon when services are scheduled or when you request the estimate.
What Will My Estimate Include?
Your Good Faith Estimate will include the expected charges for healthcare services that can reasonably be anticipated based on the information available when the estimate is prepared.
For ongoing psychotherapy, the exact duration of treatment may not always be known in advance. Your estimate may therefore be based upon the anticipated frequency of sessions and applicable fee for those services.
Your actual treatment needs, frequency of services, or duration of care may change.
If your treatment plan or anticipated services change significantly, an updated Good Faith Estimate may be provided when appropriate.
The Estimate Is Not a Contract for Treatment
A Good Faith Estimate does not require you to receive the services listed in the estimate.
It also does not guarantee a particular clinical outcome or establish that a particular number of psychotherapy sessions will be clinically appropriate.
Treatment recommendations remain based upon your individual circumstances and the professional judgment applicable to your care.
If Your Bill Is Substantially Higher Than Your Estimate
Federal law provides a patient-provider dispute resolution process for certain uninsured or self-pay individuals.
If a provider bills you $400 or more above that provider's Good Faith Estimate, you may be eligible to dispute the bill through the federal patient-provider dispute resolution process.
Generally, a dispute must be initiated within 120 calendar days of the date on the initial bill.
Keep a copy of your Good Faith Estimate and compare it with bills you receive.
Your Care Will Not Be Affected
Exercising your rights regarding a Good Faith Estimate or initiating an eligible billing dispute will not adversely affect the quality of healthcare services you receive from GreenNvy.
Questions About Your Estimate
Questions regarding a Good Faith Estimate provided by GreenNvy may be directed to:
GreenNvy Niche, PLLC
Dr. Nïchelle Wall, LPC-S, CST-S
Email: drwall@greennvy.com
Website: www.greennvy.com
Additional information about federal Good Faith Estimate and medical-billing rights is available through the Centers for Medicare & Medicaid Services.