Good Faith Estimate

Good Faith Estimate Notice

Important information for clients who are not using insurance or who choose to self-pay.

Under the No Surprises Act, health care providers are required to give clients who do not have insurance or who are not using insurance an estimate of the expected charges for medical and mental health care services.

You have the right to receive a Good Faith Estimate for the total expected cost of non-emergency services, including psychotherapy services and any other reasonably expected charges.

You may ask Diane Necastro for a Good Faith Estimate before scheduling a service or at any time during treatment. If you receive a bill that is at least $400 more than your Good Faith Estimate, you may have the right to dispute the bill.

For questions or to request a Good Faith Estimate, please contact Diane directly at dnecastro@icloud.com or 302-379-8959.

For more information about your rights under the No Surprises Act, visit cms.gov/nosurprises.