GOOD FAITH ESTIMATE

Under the No Surprises Act, health care providers are required to give self-pay clients a Good Faith Estimate of expected charges for services. This document is provided to help you understand the potential costs of therapy based on your current needs and goals.

This is not a bill and does not require you to commit to a specific number of sessions.

Provider Information

Poplar Belief Therapy, PLLC
Virtual Therapy Services for Adults in Texas
📧 info@poplarbelieftherapy.com
📞 832-334-7146

Estimated Cost of Services

Therapy is most effective when it’s consistent. Many clients start with weekly sessions, and some shift to biweekly as progress continues. Below is an estimate for weekly therapy over both 6 and 12 months.

6-Month Estimate
Approximately 24 sessions
24 × $180 = $4,320

12-Month Estimate
Approximately 52 sessions
52 × $180 = $9,360

These are general estimates based on weekly sessions. Your actual frequency may vary based on your needs and preferences. You can pause or stop therapy at any time.

Your Rights Under the No Surprises Act

  • You have the right to receive a Good Faith Estimate before care begins.
  • You can request an updated estimate at any time.
  • If actual charges exceed the estimate by $400 or more, you may dispute the bill.

For more info, visit www.cms.gov/nosurprises

Have Questions?

We're happy to walk you through anything you need. Just reach out.

📧 info@poplarbelieftherapy.com
📞 832-334-7146