GCL Ministries, Inc.
No Surprises Act
Good Faith Estimate
God Changes Lives Ministries, Inc. is considered a mental health provider, and therefore, we are required by the 2022 No Surprises Act to give you a Good Faith Estimate if you’re not using insurance for payment or reimbursement for your counseling services.
Although the hourly rate of service is disclosed in the GCL Agreement & Policy Information document, you’re in control of deciding the amount of hourly sessions that you prefer to participate in, and pay for, within a calendar year, as we are required by law to provide a financial estimate for your course of counseling services provided through GCL Ministries.
The national average for a course of psychotherapy is 18 sessions. Your counselor will provide a Good Faith Estimate for your counseling services based on the national average of 18 sessions multiplied by your hourly rate of counseling. The initial estimate is valid for 12 months, but you are entitled to receive an update on this estimate at any time upon request.
Current ICD-10 diagnosis:
- R69 (diagnosis deferred)
Anticipated length of Counseling Services:
- 18 sessions
Standard Charges:
- 60-minute Counseling Session at [Your rates here]
- Total of estimated “fee for services” without insurance: [Session rate x 18]
This is a rough estimate based on national averages. The time frame of help will vary depending on the severity of the identified issues and the current circumstances that you’re dealing with. The duration of the amount of sessions can be longer or shorter depending upon your response to the care provided and your work between sessions. Suspension, termination, or referral can be discussed at any time. Should your prognosis change, we will provide you with a new good faith estimate.
Location of counseling services:
All in-person sessions will take place at
3000 Atrium Way, Suite 200,
Mt. Laurel NJ 08054
or virtually.