No Surprises Act

What is the No Surprises Act?

Psychotherapy treatment is included in the No Surprises Act. This legislation is intended to ensure that people do not receive surprised medical bills. It is more applicable to the medical setting than the therapeutic one, but nevertheless psychotherapy treatment is covered by this act.

Because of this act, you will receive a Good Faith Estimate as a part of your intake paperwork at Monarch Wellness and Psychotherapy. It’s your right to receive the GFE under the No Surprises Act. The Good Faith Estimate (or GFE) provides you with information about what you will be charged. This includes your provider’s name and National Provider Identification Number (NPI) as well as their hourly rate.

Because Monarch does not contract directly with insurance companies, every client will receive a GFE. This is the case even if you will be participating in a single-case agreement.

We cannot reliably tell ahead of time how much therapy you might do throughout the year. You will need to multiply this number by the total number of sessions that you expect to do in a year if you require an annular total. Please remember that this number will not include any reimbursement you may receive from your insurance provider for out-of-network benefits (which does cover Monarch’s psychotherapy services).

After extensive legal and ethical consultation, Monarch has decided to stand by the reality that it is unethical to diagnose a client that you have never even met.  If you want we will provide an updated GFE after you meet with your provider.  Just reach out to our client care coordinator Shara and she will be able to set you up.  If you are interested in signing a petition challenging this aspect of the legislation, you may do so here.