Good Faith Estimate

You have the right to receive a Good Faith Estimate that will explain how much your medical care will cost you.

Under the law, healthcare providers must give patients who do not have insurance or who are not using insurance a Good Faith Estimate of the bill for the medical items or 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. This will not include the related physician and other professional services that may be billed separately.
• Your healthcare provider must give you a Good Faith Estimate in writing at least one (1) business day before your scheduled services. You may also ask your health care provider for a Good Faith Estimate before you schedule 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.
• Make sure to save a copy or picture of your Good Faith Estimate for your records.
For questions or more information about your right to a Good Faith Estimate, you may visit www.cms.gov/nosurprises or you may call 1-800-985-3059.