No Surprises Act/GFE

You have the right to receive a “Good Faith Estimate” that outlines the anticipated costs of your medical care.

 

Entitlement to a Good Faith Estimate:

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• You have the right to obtain a “Good Faith Estimate” that outlines the expected costs of your medical care.

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Provider Obligations:

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• Health care providers are required to give estimates to patients who are uninsured or not using their insurance.

• The estimate should include the total anticipated costs for non-emergency services or items, such as:

  • Medical tests

  • Prescription medications

  • Equipment

  • Hospital charges

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How to Request an Estimate:

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• Make sure to receive the estimate in writing at least 1 business day before your scheduled service.

• You can also ask any provider for a Good Faith Estimate prior to booking an item or service.

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Bill Dispute Rights:

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• If you receive a bill that is $400 or more above your Good Faith Estimate, you are entitled to dispute the charge.

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Keep a Record:

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• Retain a copy or photo of your Good Faith Estimate for your records.

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Further Information:

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For further questions or additional information regarding your right to a Good Faith Estimate, please visit www.cms.gov/nosurprises  or contact our office.