Good Faith Estimate
Under the No Surprises Act, you have the right to receive a Good Faith Estimate of expected costs before beginning services. This document outlines the anticipated cost of your care at Kelsey Dunn Counseling, PLLC so you can make informed decisions about your treatment.
This estimate is provided before your first session and will be updated any time there is a significant change to your treatment plan or fees.
Provider Information
Provider Name: Kelsey Dunn, LMHC
Practice Name: Kelsey Dunn Counseling, PLLC
License: Licensed Mental Health Counselor (LMHC), NY | License No. 011371
Service Format: Virtual (telehealth)
Services and Expected Costs
The following rates reflect the standard fees for services at Kelsey Dunn Counseling, PLLC. Your actual costs may vary based on your individual treatment plan and session frequency.
Individual Therapy (50 minutes): $250 per session
Sliding Scale
A limited number of sliding scale spots are available for clients for whom standard fees present a genuine barrier. If this applies to you, please reach out. We will figure it out together.
Insurance and Superbills
Kelsey Dunn Counseling, PLLC is a private pay practice and does not accept insurance directly. However, a superbill can be provided upon request, which you may submit to your insurance provider for potential out-of-network reimbursement. It is recommended that you contact your insurance provider before beginning services to understand your out-of-network benefits and any reimbursement process.
Estimated Annual Cost
The following estimates are based on weekly individual therapy sessions at the standard rate. Your actual costs will depend on session frequency, length, and duration of treatment.
Weekly sessions (50 min) for 12 weeks: $3,000
Weekly sessions (50 min) for 6 months: $6,500
Weekly sessions (50 min) for 12 months: $13,000
Your Rights Under the No Surprises Act
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.
This Good Faith Estimate is not a contract and does not obligate you to obtain services from Kelsey Dunn Counseling, PLLC. It does not include unknown or unexpected costs that may arise during treatment. If you have questions about this estimate, please reach out before your first session.