NO SURPRISES ACT

Your Right to a Good Faith Estimate

Under the federal No Surprises Act, individuals in the United States who do not have health insurance or who are not using insurance to pay for their care generally have the right to receive a Good Faith Estimate of expected charges for scheduled health care services.

What is a Good Faith Estimate?

A Good Faith Estimate provides an estimate of the expected charges for the care or services you are planning to receive.

It is not a bill and does not require you to receive services.

If you schedule services at least three business days in advance, you may be entitled to receive a written Good Faith Estimate before those services begin. You may also request a Good Faith Estimate before scheduling services.

Requesting an Estimate

If you are uninsured or do not plan to use insurance to pay for your care, you may request a Good Faith Estimate at any time.

To request one, please contact:

Dr. Ben Langstein

If Your Bill Is Higher Than Your Estimate

If a bill from a provider is at least $400 more than the amount listed on that provider’s Good Faith Estimate, you may be eligible to use the federal patient-provider dispute resolution process.

Keep a copy of your Good Faith Estimate so that you can compare it with any bills you receive.

For additional information about Good Faith Estimates and your rights under the No Surprises Act, visit the Centers for Medicare & Medicaid Services.

This notice concerns federal Good Faith Estimate protections for individuals in the United States who are uninsured or are not using insurance to pay for their care.

Dr. Ben Langstein

Thoughtful psychotherapy shaped around the person in front of me.

© 2026 Dr. Ben Langstein, PhD

© 2026 Dr. Ben Langstein, PhD

For emergencies, contact your local emergency services or go to your nearest emergency room.

For emergencies, call 911 or contact local emergency services.