You have the right to a Good Faith Estimate

By law, healthcare providers need to give patients who do not have certain types of healthcare coverage, or who are not using certain types of healthcare coverage ("Uninsured/Self-Pay Patients") an estimate of their bill before any items or services are provided.

• If you are an Uninsured or Self-Pay Patient, you have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services when scheduling them. This includes related costs such as medical tests, prescription drugs, and hospital fees.
• Usually, providers must give you a good faith estimate of how much your health care will cost if you request one or schedule services at least 3 business days in advance.
• If your bill for any provider is $400 or more above the cost given in the Good Faith Estimate, federal law allows you to dispute the bill.
• The Good Faith Estimate does not include any unknown or unexpected costs that might arise during treatment. For example, you may schedule an appointment with a dermatologist that uncovers other areas of concern beyond the reasons for which you originally scheduled your appointment. Those areas of concern may necessitate other procedures or tests not considered in the Good Faith Estimate (for example, a biopsy that results in charges for pathology services). Your final bill may thus be higher if there are complications or new circumstances.

For questions or more information about your right to a Good Faith Estimate,
visit www.cms.gov/nosurprises/consumers,
email [email protected],
or call 1-800-985-3059.