Contact me

Let’s get started.

I’ll answer your questions and we can decide if I’m the right therapist for you.

Complete this form and I’ll be back in touch via email or text within 1 business day.

Good Faith Estimate

Under Section 2799B-6 of the Public Health Service Act, healthcare providers and healthcare facilities are required to provide a good faith estimate of expected charges for items and services to individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing, upon request or at the time of scheduling health care items and services. It is used by health care providers to inform individuals who are not enrolled in a plan or coverage or a Federal health care program (uninsured individuals), or individuals who are enrolled but not seeking to file a claim with their plan or coverage (self-pay individuals) of the expected charges they may be billed for receiving certain health care items and services. In summary:​​

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

  • Under the law, healthcare 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.

  • 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.

  • 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.

Call or Text

571-377-8114

Email

madeline.grove@pastoralcounselingnv.com

office locations

1205 Dolley Madison Blvd, McLean, VA (Trinity House Office)

8800 Sudley Road, Manassas, VA