Last updated: July 2026
Transparency about cost is part of respect. Under the federal No Surprises Act, you have the right to receive a “Good Faith Estimate” explaining how much your health care is expected to cost.
Your right to a Good Faith Estimate
- Health-care providers must give clients who don't have insurance, or who are not using insurance, an estimate of the expected charges for medical services—including psychotherapy.
- You have the right to receive a Good Faith Estimate for the total expected cost of therapy services before you begin, and you may ask for one at any time.
- Make sure your provider gives you a Good Faith Estimate in writing at least one business day before your service. You can also ask for an estimate before you schedule.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Save a copy of your Good Faith Estimate.
Learn more
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or contact us at hello@sophiaalexis.com.
Therapy clients receive a written Good Faith Estimate as part of beginning services. This right applies to clinical (therapy) services; coaching engagements state their fees plainly in the coaching agreement.