Couples & Relational Trauma Therapy
in Los Gatos, CA
Good Faith Estimate
Notice Required Under the No Surprises Act
Your Right to a Good Faith Estimate
Under the No Surprises Act, you have the right to receive a Good Faith Estimate of the expected cost of your care before your first appointment, and upon request at any time.
What Is a Good Faith Estimate?
A Good Faith Estimate is a written estimate of the expected cost of services you may receive. It is not a contract and does not require you to obtain services from this provider. The actual cost of services may differ from the estimate depending on the nature, frequency, and duration of treatment.
Megan Bathen-Gonzalez Psychotherapy is a private-pay practice and does not bill insurance directly. If you do not have health insurance or choose not to use insurance to pay for your care, you are entitled to receive a Good Faith Estimate of expected charges.
Standard Session Fees
Individual Therapy — 50 minutes — $230
Couples Therapy — 50 minutes — $260
Free Initial Consultation — 15 minutes — $0
A limited number of sliding scale spots may be available. Please inquire directly if cost is a barrier to care.
How Your Good Faith Estimate Is Calculated
The cost of psychotherapy depends on the type of service, your agreed-upon session fee, and the frequency of appointments.
My current standard fees are:
Individual psychotherapy: $230 per 50-minute session
Couples psychotherapy: $260 per 50-minute session
A limited number of reduced-fee appointments may be available based on individual circumstances.
Because psychotherapy is individualized, the frequency and duration of treatment may vary. Your Good Faith Estimate will reflect your specific fee arrangement and the anticipated frequency of services.
If your session frequency, services, or agreed-upon fee changes, your estimated charges may change accordingly. A revised Good Faith Estimate may be provided when appropriate.
Your Good Faith Estimate is an estimate of expected charges and is not a prediction of how many sessions you will need or a requirement to attend a specific number of sessions.
Out-of-Network Reimbursement
This practice does not bill insurance directly. Depending on your health insurance plan, you may be eligible for reimbursement for out-of-network psychotherapy services.
A superbill can be provided upon request for you to submit to your insurance company. Out-of-network benefits, reimbursement amounts, deductibles, and eligibility vary by plan, and reimbursement is not guaranteed.
You are encouraged to contact your insurance company directly to confirm your out-of-network mental health benefits before beginning therapy.
Your Rights Under the No Surprises Act
If you do not have health insurance or choose not to use insurance to pay for your care, you generally have the right to receive a Good Faith Estimate when you schedule care at least 3 business days in advance or when you request an estimate.
If you schedule care 3–9 business days in advance, the estimate is generally provided within 1 business day. If you schedule care 10 or more business days in advance, the estimate is generally provided within 3 business days. You may also request an estimate before scheduling care.
If your final bill from a provider is at least $400 more than the provider's Good Faith Estimate, you may be eligible to use the federal Patient-Provider Dispute Resolution process.
Questions?
Megan Bathen-Gonzalez Psychotherapy, LMFT
LMFT License #150616 | NPI: 1720643299
Los Gatos, CA
megan@meganbathen-gonzalezpsychotherapy.com
(408) 341-9146