Good Faith Estimate

In compliance with the No Surprises Act, all patients have the right to receive a “Good Faith Estimate” explaining how much health care will cost.

Under the law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for health care items and services.

· You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

· Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before receiving health care services or items. You can also ask your health care provider, and any other provider you chose, for a Good Faith Estimate before scheduling an item or service.

· If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

· You should make sure to save a copy or take a picture of your Good Faith Estimate.


For questions or more information about your right to a Good Faith Estimate, 
visit
www.cms.gov/nosurprises or call 1-800-985-3059.