Good Faith Estimate
NOTIFICATION OF FEDERAL PROTECTIONS AGAINST SURPRISE BILLING
Good Faith Estimate for uninsured clients and clients choosing not to use insurance (Choosing to pay “out-of-pocket”)
You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost
Under the law, health care providers need to give clients who don't have insurance or who are not using insurance an estimate of the bill for medical 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.
Your health care provider shall provide you a Good Faith Estimate in writing prior to your medical service or item. You can also ask your health care provider and any other provider you choose (to work with), for a Good Faith Estimate during scheduling.
If you receive a bill that is substantially higher than estimated on (more than $400 than) your Good Faith Estimate, you can dispute the bill.
It is a good idea to save a copy of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises
Good Faith Estimate for uninsured clients and clients choosing not to use insurance (Choosing to pay “out-of-pocket”)
You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost
Under the law, health care providers need to give clients who don't have insurance or who are not using insurance an estimate of the bill for medical 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.
Your health care provider shall provide you a Good Faith Estimate in writing prior to your medical service or item. You can also ask your health care provider and any other provider you choose (to work with), for a Good Faith Estimate during scheduling.
If you receive a bill that is substantially higher than estimated on (more than $400 than) your Good Faith Estimate, you can dispute the bill.
It is a good idea to save a copy of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises