The Right to a “Good Faith Estimate”

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Under Section 2799B-6 of the Public Health Service Act, healthcare providers are required to provide a “Good Faith Estimate” of expected charges for items/services to individuals not seeking to file a claim with their plan or coverage both orally and in writing, upon request or at the time of scheduling healthcare services. The No Surprises Act requirements protect uninsured or self-pay clients from unexpected medical bills.

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You are entitled to receive a Good Faith Estimate of what your estimated charges will be, before you receive the service.  You may also request a Good Faith Estimate even if you do not schedule an appointment.

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Your Rights:

• Upon request, your health care provider will provide you with a Good Faith Estimate in writing at least 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.

• Make sure to save a copy or picture of your Good Faith Estimate.

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