No Surprises Act & Good Faith Estimate Notice
At Ocean View Therapy LLC, transparency about your care and costs matters. Under the federal No Surprises Act, clients who are uninsured or who choose not to use insurance for services have the right to receive a Good Faith Estimate (GFE) of expected charges before services begin.
Your Rights
You can request a Good Faith Estimate at any time—and a Good Faith estimate will be given to you before scheduling or at the time of scheduling.
You will receive a written estimate of the expected cost of services, including:
- Session fees
- Any administrative or related costs
- Estimated number of sessions (based on your goals and treatment plan)
If you receive a bill that is $400 or more above your Good Faith Estimate, you may dispute the charge through a formal federal dispute process.
What’s Included in a Good Faith Estimate
Your Good Faith Estimate will outline:
- Your provider’s name and credentials
- The services expected (e.g., intake session, ongoing therapy sessions)
- The estimated frequency and duration of treatment
- The estimated total cost of services
- Disclaimers explaining that the estimate is not a contract and may change based on your clinical needs
How to Request a Good Faith Estimate
You may request a GFE at any time by contacting:
Phone: (619)-630-7256
Email: jessica@oceanviewtherapy.net
Please specify the type of service you are interested in (for example: initial intake evaluation, 45–50 minute ongoing psychotherapy sessions, couples therapy, etc.).
Bill Dispute Rights
If your bill is at least $400 more than your Good Faith Estimate, you have the right to dispute it. You must start the dispute process within 120 days of receiving the bill. You will need:
- A copy of your Good Faith Estimate
- The bill you are disputing
More information about your rights can be found at: www.cms.gov/nosurprises
Important Notes
- A Good Faith Estimate is not a contract and does not require you to receive services.
- Actual treatment needs and costs may differ depending on clinical changes or preferences you discuss with your provider.
- This notice is required by federal law and is provided to ensure clarity and protect your rights as a client.