You have the right to receive a Good Faith Estimate (GFE) explaining how much your medical care will cost, before you receive an item or service. Patients are entitled to request a Good Faith Estimate that do not have health insurance or who are not using health insurance in accordance with the Department of Health and Human Services, Centers for Medicare & Medicaid Services and Center for Consumer Information and Insurance Oversight. Patients in Federal health care programs are not eligible to receive a GFE, as there are other billing protections under these programs.
The Good Faith Estimate is an estimate and subject to change. You can receive a GFE for the total expected cost of any non-emergency items or services. The information provided in the GFE are estimates and not the final overall total charges. Additional items and/or services recommended by the rendering provider, as part of the course of care or that require separate scheduling are not reflected in the Good Faith Estimate.
Our patients have the right to expect a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask us (and any other provider you choose) for a Good Faith Estimate before you schedule an appointment for health care services.
You have the right to initiate the patient-provider dispute resolution process if the actual billed charges are $400 more than the expected charges included in the Good Faith Estimate. The Good Faith Estimate is not a contract and does not require the uninsured or self-pay individual to obtain the items and services from any of the providers or facilities identified on the GFE.
For questions or more information about your right to a Good Faith Estimate, call 216-446-6232.
Good Faith Estimate Disclaimer | Nepali translation | Somali translation | Spanish translation