Effective Date: 08/08/2025

Your Right to a Good Faith Estimate

At Sacred Stories Counseling, we believe care should be transparent, predictable, and centered on your well-being. If you are not using insurance, you have the right to receive a Good Faith Estimate of what your mental health services will cost before your care begins.

What Is a Good Faith Estimate?

A Good Faith Estimate outlines the expected cost of therapy or services for clients who are uninsured or choose not to use insurance. This estimate helps you plan your care with no surprises.

This estimate is not a bill or a commitment to a specific number of sessions.

Who Is Eligible?

You may request or receive a Good Faith Estimate if:

● You are uninsured

● You are insured but choose not to use your coverage

● You want to pay for therapy out of pocket

What Will Be Included?

Your estimate will include:

● Your provider’s name

● The types of services you are likely to receive

● The expected number of sessions

● The cost per session and total projected cost over time

Please note that this estimate may change depending on your progress, preferences, or clinical needs.

Timeline for Receiving Your Estimate

We will provide your Good Faith Estimate:

● Before your first appointment

● Within 1 business day if your session is scheduled 3 to 9 days out

● Within 3 business days if your session is scheduled 10 or more days in advance

● Anytime you request one

What If I Get a Higher Bill?

If you receive a bill that is $400 or more above the estimate, you may dispute the charges by:

● Contacting us first to clarify

● Filing a complaint through the federal dispute resolution process

To learn more or file a dispute:

Visit www.cms.gov/nosurprises/consumers

or call 1-800-985-3059

Questions or Requests

We are happy to answer questions and provide your estimate. You can reach us at:

Sacred Stories Counseling

Millennium Park Plaza, Chicago, IL 60601

[email protected]

708-689-9317

Your care should never come with confusion or hidden fees. We’re here to make things clear and supportive from the start.