The Art of Living Therapy

3115 Hennepin Avenue

Minneapolis, MN 55408

Phone: 612-444-9741
 

No Surprises Act Notice

Under the No Surprises Act (effective January 1, 2022), you have the right to receive a Good Faith

Estimate explaining the expected cost of your mental health services.

Health care providers are required to provide a Good Faith Estimate of charges to clients who are

uninsured or who are not using insurance, if requested. This estimate outlines the anticipated cost of

services based on the information available at the time — it is not a bill.
 

Your Rights

You may request a Good Faith Estimate before scheduling or at any time during care. You have the

right to receive an estimate for the total expected cost of non-emergency services. You may dispute a

bill that is at least $400 more than your Good Faith Estimate. If you receive a bill that is

substantially higher than your estimate, you can contact your provider to discuss the difference or

initiate a formal dispute process.
 

More Information

For additional information about your rights under the No Surprises Act, visit:

www.cms.gov/nosurprises

or call 1-800-985-3059.