Notice of Right to Good Faith Estimate
We are required to notify you of your Right to a Good Faith Estimate for medical expenses. The following summary information is provided by the Center for Medicaid and Medicare Services and the Department for Health and Human Services.
Due to the No Surprises Act that was placed into effect by the federal government on January 1, 2022, you have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under this new law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services.
Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call (800) 368-1019.