Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patient who do not 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 or items.  This includes related costs like medical tests, visit and procedure fees and medications/birth control costs.
• If you schedule your service three business days in advance, you will receive a Good Faith Estimate in writing at least 1 business day after you scheduled your visit.  You may also ask for a Good Faith Estimate in advance of scheduling the visit.
• The Good Faith Estimate shows the estimated cost of services that are reasonably expected for your health care needs for the service. The estimate is based on information known at the time the estimate was created and based upon the reason for your visit.
• The Good Faith Estimate does not include any unknown or unexpected costs that may arise during your visit.  
• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

For question or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-561-848-6402.