Notice of the Right to Receive a Good Faith Estimate

Goodman Psychiatry | Effective September 9, 2026

You have the right to receive a Good Faith Estimate explaining how much your health care is expected to cost.
Under federal law, health care providers generally must provide patients who do not have insurance or who are not using insurance to pay for care an estimate of expected charges for scheduled, nonemergency items and services.

Who May Receive an Estimate

You may be entitled to a written Good Faith Estimate if you are uninsured or choose not to use health insurance to pay for your care. You may request an estimate before scheduling, and an estimate is generally required when eligible care is scheduled at least 3 business days in advance.

Timing

For eligible scheduled services, federal guidance generally provides:

  • If care is scheduled 3-9 business days in advance, the Good Faith Estimate should be provided within 1 business day after scheduling.

  • If care is scheduled 10 or more business days in advance, the Good Faith Estimate should be provided within 3 business days after scheduling.

  • If you request an estimate before scheduling, it should generally be provided within 3 business days after the request.

A Good Faith Estimate is not generally required for care scheduled fewer than 3 business days in advance or for emergency care.

What the Estimate Means

The estimate will identify the expected charges for the items or services reasonably expected to be provided by Goodman Psychiatry for the relevant period of care. It is not a contract or final bill. Your actual care and charges may differ if the scope, frequency, duration, diagnosis, treatment plan, or reasonably necessary services change. You may request an updated estimate if your care changes.

Current federal guidance generally provides estimates for a single provider or facility. If other providers or facilities are involved, you may need to request a separate estimate from each of them.

If Your Bill Is Substantially Higher

Keep a copy of your Good Faith Estimate and compare it with your bill. If a bill from a provider or facility is at least $400 more than that provider's or facility's Good Faith Estimate, you may be eligible to use the federal patient-provider dispute resolution process. The dispute generally must be started within 120 calendar days of the date on the initial bill.

Request an Estimate

To request a Good Faith Estimate from Goodman Psychiatry, contact:
Email: dr@goodmanpsychiatry.com
Phone: 858-463-4703

Please state that you are requesting a Good Faith Estimate and indicate whether you are uninsured or do not intend to use insurance for the services. Do not send urgent or highly sensitive clinical information through ordinary email.

Learn More or Get Help

Visit www.cms.gov/medical-bill-rights or call the federal No Surprises Help Desk at 1-800-985-3059. This Website notice informs you of your rights; it is not the individualized written Good Faith Estimate for your particular care.