Good Faith Estimate

Information for clients who do not have insurance or who are not using insurance 

Notice: ​You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost

You will find information here regarding Individual therapy, group therapy, and couples counseling (marriage counseling). As a therapeutic provider in Frederick, Maryland it is my ethical duty to provide these estimates for Family therapy, Couples Therapy or Marriage Counseling, and Individual Therapy.

​Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

• Make sure your healthcare provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

• 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 or call ​800-985-3059.

Indigo Bloom Counseling, LLC Good Faith Estimate

​Beginning January 1, 2022, federal laws regulating client care have been updated to include the “No Surprises” Act. Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services called a “Good Faith Estimate” (GFE) explaining how much your medical care will cost.

This new regulation is designed to provide transparency to patients regarding their expected medical expenses and to protect them from surprises when they receive their medical bills. It allows patients to understand how much their health care will cost before they receive services.

There are a number of factors that make It challenging to provide an estimate on how long it will take for a client to complete therapeutic treatment, and much depends on the individual client and their goals in seeking therapy. Some clients are satisfied with a reduction in symptoms while others continue longer because it feels beneficial to do so. Others begin to schedule less frequently and may continue to come in for “tune-ups” or when issues arise. Ultimately, as the client, it is your decision when to stop therapy.

​At Indigo Bloom Counseling, LLC, we must provide a diagnosis for all clients for both ethical, legal, and insurance reasons–as well as required by the "No Surprises Act". A formal diagnosis occurs after an assessment has been completed. That will take place 1-5 sessions after beginning psychotherapy. If you choose to decline a formal diagnosis, we will not update the GFE.

It is within your rights to decline a diagnosis per state and federal guidelines.

​Common Diagnosis Codes at Indigo Bloom Counseling, LLC This list is not exhaustive. With that said, diagnosis codes can change based on many factors. Please speak to your therapist with any questions or concerns.

  • Adjustment Disorder (F43.23)

  • Mental Disorder, Not Otherwise Specified (F99)

  • Depression (F32.9)

  • Anxiety (F41.1)

  • Bipolar (F31.9)

  • PTSD/Post Traumatic Stress Disorder (F43.10)

​Indigo Bloom Counseling recognizes every client's therapy journey is unique.
How long you need to engage in therapy and how often you attend sessions will be influenced by many factors including

  • Your schedule and life circumstances

  • Therapist availability

  • Ongoing life challenges

  • The nature of your specific challenges and how you address them

  • Personal finances

You and your therapist will continually assess the appropriate frequency of therapy and will work together to determine when you have met your goals and are ready for discharge and/or a new "Good Faith Estimate" will be issued should your frequency or needs change..

So, it depends on several factors because everyone has unique counseling goals. Like any other relationship, it takes time to develop a therapeutic relationship with your counselor and identify your treatment goals, establish a plan of action, and work towards accomplishing them. Whatever your number of sessions will be, we will work together to meet your needs.

​Common Services at Indigo Bloom Counseling

  • 90791: Intake session ($235)

  • 90834: 45-50 minute Individual Therapy session ($175)

  • 90847/46: Family/Couples Therapy session ($195)

  • 90853: Group Therapy session ($85)

    Good Faith Estimate

    ​For a good faith estimate: the amount you would owe if you were to attend therapy for 52 sessions in a year (weekly, without skipping any weeks for holidays, breaks, vacations, unplanned events/sickness, etc.). The "Good Faith Estimate" requires practitioners to provide an exact estimate and not a range. Out of an abundance of caution and transparency, we will only quote weekly appointments.

    90791: Intake session ($215) plus 90834: 45-50 minute psychotherapy session ($160) for 51 weeks: $8160
    90791: Intake session ($215) plus 90847/46: Family/Couples psychotherapy session ($180) for 51 weeks: $9180
    90791: 90853: Group therapy session ($85) for 51 weeks: $4485

    The above examples are provided to give an idea of the financial expectations for a calendar year. The frequency and duration are dependent on your individual needs and goals.

    We look forward to talking with you and answering any questions you may have about the “No Surprises” Act and Good Faith Estimates.