Good Faith Estimate
* Please Note: The amounts listed are only an estimate; this is not an offer or contract for services.
This estimate shows the full estimated costs of the items or services listed.
It doesn’t include any information about what your health plan may cover.
This means that the final cost of services may be different than this estimate.
Contact your health plan to find out how much, if any, your plan will pay and how much you may have to pay.
Provider Description & Fee for Service *
Rebecca Partridge, Ph.D., LMFT-S Psychotherapy intake 90 min $170
Psychotherapy intake 50 minutes $150
Individual Therapy, 50 Minutes $150
Individual Therapy ,90 Minutes $170
Family Therapy, 50 Minutes $150
Family Therapy, 90 Minutes $170
Couples Therapy, 50 Minutes $150
Couples Therapy, 90 Minutes $170
Group Therapy, $65
Caitlyn Worledge, M.S., LPC-S Psychotherapy, Intake 90 minutes $170
Psychotherapy Intake, 60 minutes $150
Individual Therapy, 50 Minutes $150
Individual Therapy, 90 Minutes $170
Performance Coaching, 50 Minutes $150
Performance Coaching 90 Minutes $170
Group Therapy, $65
Amanda Miller, M.S., LPC-Associate Psychotherapy, Intake 90 minutes $120
Psychotherapy Intake, 60 minutes $80
Individual Therapy, 50 Minutes $80
Individual EAP Therapy, 90 Minutes $120
Group Therapy, $65
*(Number of sessions will be determined as we progress)
Total Estimate
This Good Faith Estimate Explains your therapist’s rate for each service provided.
*These fees are accurate for the calendar year of 2023 and are subject to change thereafter.
Your therapist will collaborate with you throughout your treatment to determine how many sessions and/or services you may need to receive the greatest benefit based on your diagnosis/ presenting clinical concerns.
*Please note that Place of Service (in office vs. telemental health) is not delineated above since the charges are identical
*Please note that Place of Service (in office vs. telemental health) is not delineated above since the charges are identical
BestLife Counseling, Consulting, and Training PLLC Services Practice Information:
ADDRESS: 875 Porter Rd, Bartonville, TX 76226
CONTACT PERSON: Rebecca Partridge, Ph.D., LMFT-Supervisor, Rebecca@bestlifecct.com
FEDERAL TAX ID: 87-0874700
GROUP NPI#: 1326714593
Disclaimer
This Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created.
The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill.
If you are billed for more than this Good Faith Estimate, you have the right to dispute the bill.
You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.
You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.
There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.
To learn more and get a form to start the process, go to www.cms.gov/nosurprises
For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
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You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
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You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
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If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
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Make sure to save a copy or picture of your Good Faith Estimate.