Good Faith Estimate
Effective June 3, 2026
Under the federal No Surprises Act, you have the right to receive a Good Faith Estimate of the expected cost of your care. This page explains that right and shows Zeva Care’s standard self-pay pricing.
Your right to a Good Faith Estimate
You have the right to receive a Good Faith Estimate explaining how much your medical care will cost. Under the law, health care providers must give patients who are uninsured or who are not using insurance an estimate of the expected charges for medical services, including psychiatric evaluation and treatment.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services, including related costs.
- You can ask Zeva Care for a Good Faith Estimate before you schedule a service, and we will provide one in writing within the timeframes required by law.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill.
- Make sure to keep a copy of your Good Faith Estimate.
Our standard self-pay pricing
The following are our standard self-pay rates for patients who are uninsured or choose not to use insurance:
This estimate reflects the services reasonably expected at the time it is issued. It is not a contract and does not obligate you to receive the services listed. Your actual charges may differ if your care needs change.
If you use insurance
The Good Faith Estimate requirement applies primarily to patients who are uninsured or who choose not to bill insurance. If you are using insurance, your actual out-of-pocket cost depends on your plan’s benefits, deductible, and copay. Contact your insurer for a personalized estimate of your coverage.
How to request a personalized estimate
To request a written Good Faith Estimate tailored to your expected care, contact our team:
Administrative office only — all visits are telehealth.
Disputing a bill
If you are billed at least $400 more than your Good Faith Estimate, you can start a dispute process with the U.S. Department of Health and Human Services within 120 days of the date on your bill. For questions or more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises or call 1-800-985-3059.