Good Faith Estimate

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

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 such as medical tests, prescription drugs, equipment, and hospital fees.

Your health care provider must give you the Good Faith Estimate in writing at least 1 business day before your medical service or item. You may also request a Good Faith Estimate from any provider before scheduling a service.

If you receive a bill that is $400 or more above your Good Faith Estimate, you have the right to dispute the bill.

Be sure to save a copy or photo of your Good Faith Estimate for your records.

For questions or more information about your right to a Good Faith Estimate, visit: www.cms.gov/nosurprises