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Good Faith Estimate

Effective April 15, 2025 Notice to Clients Who Are Uninsured or Not Using Insurance

Under the No Surprises Act (effective January 1, 2022), health care providers are required to give clients who are uninsured, or who are not using insurance, a Good Faith Estimate of expected costs before services are provided.

What Is a Good Faith Estimate?

A Good Faith Estimate is a written statement from your provider listing the expected cost of your health care services. It is not a contract and does not require you to obtain services at that cost.

About Our Services and Fees

Kinnection Group provides outpatient mental health services. The following are our standard rates for self-pay clients (those not using insurance):

• Individual therapy (50 minutes): Starting at $150 per session
• Couples / relational therapy (50 minutes): Starting at $160 per session
• Initial consultation (15 minutes): No charge

Sliding scale rates may be available. Please ask us about financial assistance during intake.

Estimated Annual Cost

The total cost of therapy depends on the frequency, duration, and type of services you receive. Therapy is typically provided weekly or bi-weekly. As an example:

• Weekly individual therapy for one year: approximately $7,800 (52 sessions at $150)
• Bi-weekly individual therapy for one year: approximately $3,900 (26 sessions at $150)

These are estimates only. Your actual costs may be higher or lower depending on your treatment plan.

Your Rights Under the No Surprises Act

You have the right to:

• Receive a Good Faith Estimate in writing before your first session
• Request an itemized list of expected charges at any time
• Dispute a bill that is $400 or more above your Good Faith Estimate

For questions or to dispute a bill, contact us at hello@kinnection.co or visit cms.gov/nosurprises.

Provider Information

This Good Faith Estimate is not a contract and does not obligate you to obtain services. Prepared April 15, 2025.