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 need to give patients 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, hospital fees, and mental health services.
- Make sure your health care/Mental health provider gives you a Good Faith Estimate in writing at least 3 business day before your medical or counseling services. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an appointment.
- 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 questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call (800) 368-1019
If you would like to request Good Faith Estimate, please complete contact us form. Good Faith estimate will be emailed to you within 24 hours.