Good Faith Estimate Notice

Sound Mind Collective LLC
Effective Date: July 1, 2025

Under the No Surprises Act, health care providers are required to provide clients who are uninsured or who choose not to use insurance with a Good Faith Estimate (GFE) of the expected costs for medical or mental health services.

This law is intended to increase transparency and help you make informed decisions about your care.
You Have the Right to Receive a Good Faith Estimate
If you are uninsured or self-paying for services, you have the right to receive a Good Faith Estimate that outlines the expected cost of non-emergency items and services, including:
Individual therapy sessions
Couples or family sessions
Coaching Packages 
Groups (If offered) 
Any other non-emergency mental health services
Your Good Faith Estimate will include:

The provider's name and contact information
A description of the service(s)
The estimated cost per session
The projected frequency and duration of services
The total expected cost over a 12-month period (or anticipated treatment period)
What You Can Expect

You have the right to receive a Good Faith Estimate in writing at least 1 business day before your scheduled service, or upon request.
The estimate is not a contract or a guarantee of exact fees, and it does not require you to continue receiving services.
The actual length and frequency of treatment may vary depending on your needs, progress, and treatment goals, which you will discuss with your clinician.
If your billed charges exceed the Good Faith Estimate by $400 or more, you have the right to initiate a dispute resolution process with the U.S. Department of Health and Human Services (HHS).

Example of Cost Estimate
This is only an example and not a personalized GFE.
Initial intake session: $350
Ongoing 50-minute therapy sessions: $300/session
Estimated frequency: Weekly (4 sessions/month)
Estimated 12-month cost: $300 x 4 x 12 = $14,400
Your personalized estimate may differ depending on your treatment needs and session types. 

Dispute Resolution
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can file a dispute with the U.S. Department of Health and Human Services (HHS). You must initiate the dispute within 120 days of receiving the bill.

For more information or to start the dispute process, visit:
📎 https://www.cms.gov/nosurprises/consumers
📞 Or call: 1-800-985-3059

Questions?

To request a Good Faith Estimate or for questions about billing and fees, please contact:
Sound Mind Collective LLC
79 E Putnam Ave
Greenwich, CT 06830

intakes@sound-mind-collective.com
‭(914) 538-2438‬ call/text