As of January 1, 2022, state-licensed or certified health care providers need to give a Good Faith Estimate of healthcare charges to every new and continuing client who is either uninsured or not planning to submit a claim to their insurance for the health services they seek. This applies to all clients at Lemon Tree Therapy, LLC.

You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

This Good Faith Estimate does not account for late cancellations, no-show fees, additional sessions at your request, non-therapeutic charges such as administrative fees, court litigation fees, or other financial arrangements determined on a case-by-case basis. Clients of Lemon Tree Therapy, LLC can see their informed consent & financial agreements for additional details.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.