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"Good Faith" Estimate

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You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.

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Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.

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You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.

You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.

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If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

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Pink Psy Counseling
Melissa E. Mendoza, LMSW

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Based in Michigan • Virtual & In-Person Therapy

Hours:  By Appointment Only 

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💌 Email: info@pinkpsy.com
📱 Text: (833) Pink-Psy

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In an Emergency:
If you or your child are experiencing a medical emergency, are considering harming yourself or others, or are in imminent danger, please dial 9-1-1 or go to your nearest emergency room.

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  Are you a Current Client feeling Extra Stressed? 

Rough day? It happens. If you’re needing some extra support this week, I’ve got you. Text me to see if we can add an additional session — we’ll make it work.

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© 2025 Pink Psy Counseling. All rights reserved.
Made with care 💗 for girls 18+ who are ready to heal, grow, and glow.

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