Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining the cost of your medical care. Under the “No Surprises Act”, effective January 1, 2022, health care providers are required to provide “Good Faith Estimates” to uninsured, out-of-network, or self-paying clients for services offered when scheduling care or when the client requests an estimate.

You can request your “Good Faith Estimate” in writing at least 1 business day before your scheduled 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 of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, please visit: www.cms.gov/nosurprises or call 800-985-3059.