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No Surprises Act & Your Right to a Good Faith Estimate
 

Under the No Surprises Act, you have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost if you are paying out-of-pocket (without using insurance).


What This Means for You

  • If you are not using insurance

  • If you are choosing not to use your insurance

  • If you are considered a self-pay client


You have the right to receive a written estimate of the expected cost of services before you begin treatment.


Your Good Faith Estimate Will Include:

  • The cost per session

  • The frequency of sessions (if known)

  • The expected length of treatment (when possible)

  • Any additional anticipated fees


Please note: The Good Faith Estimate is based on the information available at the time it is created. It does not include unexpected or unforeseen costs that may arise during treatment.


If You Receive a Bill That Is Higher Than Your Estimate

If you are billed at least $400 more than your Good Faith Estimate, you have the right to dispute the bill.
 

You can learn more about your rights under the No Surprises Act by visiting:

https://www.cms.gov/nosurprises

Online and in-person individual, couples, family, marriage and EMDR therapy in Westlake Village, California
You’re Not Meant to Do This Alone

Whether you’ve been in therapy before or this is your first time reaching out, I meet you where you are. If you're ready to begin — or just curious — I invite you to connect with me. Submit the form here to schedule a free consultation or first session.​

Location:

 

The Ludington Institute (in-person & online)

875 S. Westlake Blvd.
Suite #112
Westlake Village, CA 91361

Phone: 805.449.4375 ext 3#

Email: sam@sammavistherapy.com

Emergencies & Disclaimers:

If you are in crisis or in need of immediate support, please contact the National Suicide Prevention Lifeline at 988, or go to your nearest emergency room. Please note: submitting this form does not establish a therapist-client relationship.

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Online and in-person individual, couples, family, marriage and EMDR therapy in Westlake Village, California

©2026 | Sam Mavis, LMFT | All Rights Reserved

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Sam Mavis is a Licensed Marriage & Family Therapist and EMDR practitioner based in Westlake Village, California specializing in working with men and women (in-person and online) navigating mid-life transitions, identity shifts and relationship challenges. 

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