Your Right to a Good Faith Estimate
Montina Myers-Galloway, PLLC d/b/a Myers-Galloway Counseling
Last updated: November 9, 2026
421 South Sharon Amity Rd., Suite C, 2nd Floor, Charlotte, NC 28211 · 704-750-1889
If you're paying for therapy yourself, you deserve to know what it'll cost before you start. Federal law backs that up, and here's how it works with us.
Under the No Surprises Act, health care providers must give clients who don't have insurance, or who aren't using insurance, an estimate of the expected charges for their care. This is called a Good Faith Estimate.
You have the right to receive a Good Faith Estimate of the total expected cost of any non-emergency items or services. That includes related costs like tests, prescriptions, equipment, and facility fees.
Make sure your provider gives you a Good Faith Estimate in writing at least 1 business day before your service or item. You can also ask your 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 for any provider or facility than your Good Faith Estimate, you can dispute the bill. You generally have 120 calendar days from the date on the bill to start a dispute, and there's a $25 administrative fee.
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, email FederalPPDRQuestions@cms.hhs.gov, or call the No Surprises Help Desk at 1-800-985-3059.
How we handle your estimate
Our Billing & Insurance Specialist prepares your Good Faith Estimate and sends it to you through the SimplePractice Client Portal.
If your appointment is scheduled at least 3 business days out, you'll get your estimate within 1 business day of scheduling.
If your appointment is scheduled at least 10 business days out, or if you ask for an estimate before scheduling, you'll get it within 3 business days.
Therapy is usually ongoing, so your estimate can cover up to 12 months of expected sessions. We'll send a new one at least once a year, and any time our fees change.
A Good Faith Estimate isn't a contract, and it doesn't require you to get any services from us. It's a good-faith picture of what to expect. If your plan of care changes, we'll update it.
Questions about your estimate? Email our Billing & Insurance Specialist at billing@myersgallowaycounseling.com or call 704-750-1889.