Emergent Mental Health Services is committed to transparency and clarity around the cost of care. Under federal law, individuals who are uninsured or self-pay have the right to receive a Good Faith Estimate (GFE) of expected charges for certain health care services.

This page explains what a Good Faith Estimate is, who it applies to, and what you can expect.

What Is a Good Faith Estimate?

A Good Faith Estimate is a written estimate of expected charges for scheduled health care services provided to uninsured or self-pay clients, as required by the No Surprises Act.

The estimate reflects anticipated services, not a guarantee of final charges. Actual services provided may change based on clinical needs.

Who Receives a Good Faith Estimate?

You are entitled to a Good Faith Estimate if you are:

• Uninsured, or
• Self-pay (not using insurance for services)

Clients using insurance do not receive a Good Faith Estimate under federal law, as costs are determined by the insurer and plan benefits.

What the Estimate Includes

Your Good Faith Estimate may include:

• The expected cost of Crisis-Lite counseling services
• Estimated costs for groups, peer support, or case management, if scheduled
• Anticipated number of visits during the estimate period
• The expected cost per service

Because Emergent Mental Health Services provides short-term, outpatient Crisis-Lite care, estimates are typically based on limited episodes of care, not long-term treatment plans.

What the Estimate Does Not Guarantee

A Good Faith Estimate:

• Is not a contract
• Does not guarantee the number of visits
• Does not guarantee clinical outcomes
• May change if services change or additional services are requested

If your care needs change, a new or updated estimate may be provided.

Timing of the Estimate

You will receive a Good Faith Estimate:

• At least 1 business day before a scheduled service if booked 3–9 days in advance, or
• At least 3 business days before a scheduled service if booked 10 or more days in advance

You may also request a Good Faith Estimate at any time.

Your Rights if Charges Are Higher Than Expected

If you receive a bill that is more than $400 higher than your Good Faith Estimate, you have the right to dispute the charges.

You may:

• Contact Emergent Mental Health Services to review the charges, and/or
• Initiate a patient-provider dispute resolution process through the U.S. Department of Health and Human Services (HHS)

Information about this process is available at:
www.cms.gov/nosurprises

Important Notes About Insurance

• Good Faith Estimates apply only to uninsured or self-pay clients
• Clients using insurance should contact their insurer for benefit details
• Insurance verification is not a guarantee of coverage
• Copays, deductibles, and coinsurance are determined by your insurance plan

Questions or Requests

If you have questions about Good Faith Estimates or would like to request one, our administrative team is available to help.