Your Right to Receive a Good Faith Estimate
Effective Date: July 8, 2026
Under the No Surprises Act, health care providers are required to give individuals who do not have insurance or who are not using insurance an estimate of the expected cost of health care items and services before services are provided.
This is called a Good Faith Estimate.
You have the right to receive a Good Faith Estimate if:
- You do not have health insurance;
- You are not using insurance to pay for services;
- You are self-paying for services;
- You request a Good Faith Estimate before scheduling services; or
- You schedule services at least three business days in advance.
What the Good Faith Estimate Includes
A Good Faith Estimate explains the expected cost of services that are reasonably expected for your care. The estimate may include items or services such as counseling sessions, assessment services, evaluation services, or other expected behavioral health services.
The estimate is based on information known at the time it is created. The actual services needed may change based on your clinical needs, treatment goals, frequency of services, cancellations, changes in care, or additional services requested.
A Good Faith Estimate is not a contract and does not require you to receive services from Ascend Behavioral Wellness & Assessment Services LLC.
Timing of the Estimate
If you schedule a service at least three business days in advance, you should receive a Good Faith Estimate in writing within one business day after scheduling.
If you schedule a service at least ten business days in advance, you should receive a Good Faith Estimate in writing within three business days after scheduling.
You may also request a Good Faith Estimate before scheduling services. If you request one, the estimate should be provided in writing within three business days after the request.
If Your Bill Is Higher Than the Estimate
If you receive a bill that is at least $400 more than your Good Faith Estimate for a provider or facility, you may have the right to dispute the bill through the federal patient-provider dispute resolution process.
Keep a copy or picture of your Good Faith Estimate and any bills you receive.
For questions about your right to a Good Faith Estimate or the dispute process, you may contact the federal No Surprises Help Desk at 1-800-985-3059.
Contact for Good Faith Estimate Questions
Ascend Behavioral Wellness & Assessment Services LLC
Phone: 609-246-0427
Email: info@ascendbehavioralwellness.com