GOOD FAITH ESTIMATE | PellegrinoTalks.com

Transparency is Essential

Good Faith Estimate (GFE) Information

Below, you will find our descriptions of providers and associated current rates that went into effect on June 1, 2024. In addition, below is the information provided in our Good Faith Estimate, required by Federal Law.

Fees vary by session type, length, and therapist experience/credentials. Fees are subject to change, and you will be provided with a 30-day notice prior to this occurring.

Therapist/counselor availability changes often. Please contact us so we can learn about your concerns and goals for therapy and we can match you with an open therapist that best meets your needs.

Effective 6/1/2024-12/31/2024

Therapy with Dr. Elisa Pellegrino, LPC, LCADC, ACS, NCC, CCFE

$275 / 50 minutes for individual therapy
$415 / 75 minutes for comprehensive diagnostic individual intake assessment
$425 / 75 minutes for relational (ie. family, couple) therapy
$415 / 75 minutes for each member for relational (ie. family, couple) comprehensive diagnostic intake assessment

Limited reduced rate spots are available.

Therapy with Emma Palacio, LAC, NCC

$175 / 50 minutes for individual therapy
$275 / 75 minutes for comprehensive diagnostic individual intake assessment
$300 / 75 minutes for relational (ie. family, couple) therapy
$275 / 75 minutes for each member for relational (ie. family, couple) comprehensive diagnostic intake assessment

Limited reduced rate spots are available.

Frequently Asked Questions (FAQs)

Do you accept insurance?

We are considered "out-of-network" providers. Fees are due at the time of each session. We can provide you with a "superbill" to submit to your insurance to attempt to be reimbursed or for flexible spending accounts (FSA).

Why we are "out-of-network" providers:

All Insurance claims (including superbills) require a medical diagnosis, even if one doesn’t exist. This may limit opportunities for employment or other insurance.
The insurance company, not you, dictates how many therapy sessions are necessary for your treatment.
Despite new privacy policies, private information is shared with insurance companies (i.e., clinical notes, diagnosis, treatment plans, etc.).
This information is stored in the Medical Information Bureau (MIB) and can be accessed by insurers, employers, etc.

Good Faith Estimate

Under the Federal "No Surprises Act" (H.R. 133 – effective January 1, 2022), you have the right to receive a “Good Faith Estimate” (GFE) explaining how much your medical care will cost. Under the law, healthcare 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. A GFE is for you to be aware of what counseling/therapy may cost over time. You do not need to make any type of commitment to the length or frequency of counseling/therapy sessions.

You have the right to receive a GFE for the total expected cost of any non-emergency services, equipment, or other items (i.e., medical tests, prescription drugs, equipment, and hospital fees).
You may ask about a GFE when you are shopping around for a counselor/therapist to use as a quote. You will receive a GFE in writing at least one (1) business day before your intake session.
Unknown or unexpected costs that may arise during treatment are not listed on the GFE. You could be charged more if complications or special circumstances occur.
If you get a bill that is $400 or more than your GFE, you may dispute the bill.

For questions or more information about your right to a Good Faith Estimate, visit https://www.cms.gov/nosurprises ises.