Good Faith Estimate

Empowered Living Psychological Services, Inc. honors the investment of time, energy, and the financial commitment you are making to enhance your health and wellness.  Below is the notice of your rights to estimate the financial costs of services.

Under the law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services. 

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.  This includes related costs like medical test, prescription drugs, equipment, and hospital fees.

  • Make sure your health care provider gives you a Good Faith estimate in writing at least 1 business day before your mental health service or item.  You can also ask your health care 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 $400.00 more than your Good Faith Estimate, you can dispute the bill.

  • Make sure to save a copy or picture of your Good Faith Estimate

 For questions or more information about your right to a Good Faith Estimate, visit

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