Good Faith Estimate
A clearer estimate before care begins.
If you do not have insurance or choose not to use it, you may have a right to a written estimate of expected charges.
Acuity Counseling delivers personalized Good Faith Estimates through the secure client portal. This page explains the process, but it is not your formal estimate.
When it applies
Know when an estimate may be available.
Federal protections generally apply when you are uninsured or are not using insurance for care. Timing and eligibility depend on how and when services are requested or scheduled.
Without insurance
You do not have health insurance.
You may request a written estimate of the charges reasonably expected for your care.
Choosing self-pay
You have coverage but do not plan to use it.
Appropriate paperwork is required when you choose to opt out of using your insurance benefits.
Before care
You request an estimate or schedule ahead.
A Good Faith Estimate is generally provided when requested or when qualifying care is scheduled at least three business days in advance.
Current self-pay rates
A useful starting point, not your formal estimate.
These are Acuity Counseling’s current standard rates. Your personalized estimate may reflect the clinician, service, anticipated frequency, and expected duration of care.
Licensed clinician
$165
Intake session
Licensed clinician
$150
Subsequent session
Pre-licensed clinician
$115
Intake session
Pre-licensed clinician
$95
Subsequent session
Group rates vary by group. Rates may change, and this webpage does not replace the personalized written estimate delivered through the secure portal.
View payments and feesYour personalized estimate
Built around the care reasonably expected for you.
Your written estimate is more specific than a public rate list. It reflects the information available when it is prepared and may be updated if your needs or care plan change.
Expected services
The estimate identifies the care and charges reasonably expected based on the information available at that time.
Anticipated course of care
Frequency and duration may be included when they can be reasonably anticipated.
Secure delivery
Acuity sends the personalized written estimate through the secure client portal for you to review and keep.
Your federal rights
If a bill is substantially higher than your estimate.
If a provider’s billed charges are at least $400 more than the amount listed on your Good Faith Estimate, you may be able to use the federal patient-provider dispute resolution process.
Keep a copy of your estimate. The Centers for Medicare & Medicaid Services explains eligibility, deadlines, fees, and how to begin a dispute.
Review the official federal guidanceGood Faith Estimate FAQs
A few details worth knowing
Who may receive a Good Faith Estimate?
People who do not have health insurance or who choose not to use their insurance may have a right to a written Good Faith Estimate of expected charges.
Is the rate information on this page my formal estimate?
No. The rates on this page are general current self-pay rates. Your personalized Good Faith Estimate is a separate written document based on the services reasonably expected for your care.
Where will I receive my personalized estimate?
Acuity Counseling delivers personalized Good Faith Estimates through the secure client portal. Keep a copy of the estimate for your records.
What if my bill is at least $400 more than the estimate?
You may be able to use the federal patient-provider dispute resolution process if a provider’s billed charges are at least $400 more than the amount listed on your Good Faith Estimate. The Centers for Medicare & Medicaid Services explains the process and current requirements.
