Step 1
If you do not have health insurance or choose not to use insurance, tell us before your appointment so we can prepare a written estimate for scheduled care.
Good Faith Estimate
Your Right To Receive A Good Faith Estimate
Under the No Surprises Act, health care providers need to give patients who do not have certain types of health care coverage, or who are not using certain types of health care coverage, an estimate of their bill for health care items and services before those items or services are provided.
You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling those items or services. A Good Faith Estimate is not a bill. It is a written estimate of expected charges based on the information known at the time it is prepared.
If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill. Save a copy or picture of your Good Faith Estimate in case you need it later.
How It Works
Step 2
You may ask for a Good Faith Estimate before you schedule, or you may receive one after scheduling when care is scheduled at least 3 business days in advance.
Step 3
Keep a copy or photo of your estimate so you can compare it with any bill you receive later.
When You Should Receive It
- If care is scheduled at least 3 business days in advance, the estimate should be provided in writing within 1 business day after scheduling.
- If care is scheduled at least 10 business days in advance, the estimate should be provided in writing within 3 business days after scheduling.
- If you request an estimate before scheduling, the estimate should be provided in writing within 3 business days after you ask.
If Your Bill Is Higher
If a bill from a provider or facility is at least $400 more than the Good Faith Estimate from that provider or facility, you may be able to use the patient-provider dispute resolution process.
CMS says disputes must be started within 120 days of receiving the initial bill, so it is important to keep your estimate and act promptly if you have concerns.
Learn more at CMS