Good Faith Estimate

Effective January 1, 2022, the No Surprises Act requires all mental health providers to give clients who are uninsured, or who choose not to use insurance, a Good Faith Estimate (GFE) of expected charges for services.

At Magenta Therapy LCSW PLLC, we believe in transparency and want you to feel fully informed about the financial aspects of your care.

What Is a Good Faith Estimate?

A Good Faith Estimate outlines the expected costs of services that are reasonably anticipated for your mental health care. It is based on information known at the time it is created and may not include unexpected changes or additional services that could arise as treatment progresses.

You are entitled to receive this estimate before starting therapy. Please note that therapy is a highly individualized process, and the number of sessions you may need cannot be known in advance. The total cost of treatment will depend on:

• How many sessions you attend
• The length and frequency of sessions
• Your unique treatment goals and circumstances

This estimate is not a contract and does not obligate you to receive services from Magenta Therapy LCSW PLLC.

Session Fees

At Magenta Therapy LCSW PLLC, our standard fees are as follows:

• 45-minute individual therapy session: $200
• 60-minute couples therapy session: $240
  
  

Most clients attend sessions weekly, though frequency may vary depending on your needs and goals. When estimating your total cost, consider breaks for holidays, vacations, or emergencies.

 

Individualized Care

The duration and frequency of therapy depend on many factors, such as:

• Your goals and the nature of your concerns
• Life events and scheduling needs
• Therapist availability
• Financial considerations

Your therapist will collaborate with you throughout treatment to regularly review your progress, adjust session frequency as needed, and provide updated estimates if your care plan changes.
You may request a new Good Faith Estimate in writing at any time.

Additional Fees and Disclaimers

Your Good Faith Estimate only covers standard psychotherapy sessions. Additional charges may apply for:

• No-show or late cancellation fees
• Written reports or letters
• Record requests
• Legal or court-related services
• Professional consultations or coordination of care
• Any additional services will be discussed with you in advance, and a new estimate will be provided if applicable.

This estimate is not a recommendation or prediction of the total number of sessions you will need. Actual costs may differ depending on your progress and treatment choices.

Dispute Resolution and Your Rights

If you receive a bill that is $400 or more above your Good Faith Estimate, you have the right to initiate a dispute resolution process.
For more information, visit www.cms.gov/nosurprises
or call (800) 368-1019.

You are always encouraged to discuss your treatment plan, fees, or estimate with your therapist at any time.

Acknowledgment

By engaging in therapy with Magenta Therapy LCSW PLLC, you acknowledge that:

• You are not obligated to receive any services listed in this estimate.
• You may discontinue therapy at any time.
• You understand that services are provided on a private-pay basis unless otherwise arranged.
• Some or all amounts paid may not count toward any insurance deductible or out-of-pocket limit.