NOTICE OF NO SURPRISE/GOOD FAITH ESTIMATE
You have the right to receive a Good Faith Estimate, explaining how much your medical care will cost.
Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance including seeing a provider who is out of network 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, and lab work.
- Make sure your healthcare provider gives you a Good Faith Estimate in writing at least one (1) business day before your medical service or item.
- You can also ask your healthcare provider, and any other provider you choose, 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 with your healthcare provider.
- 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 https://www.cms.gov/nosurprises/consumers or call (800) 985-3059.