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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 patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. 

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or 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 

 

Good Faith Estimate Scenario # 1: Out of network providers must furnish a GFE priority to the delivery of those services whenever possible, for their services to patients to whom they are providing out of network services at an in-network heath care facility.

Good Faith Estimate Scenario # 2: All healthcare facilities and individual providers must provide uninsured/self-pay patients with a GFE of the expected costs of their course of treatment and must do so within specific times frames. This requirement applies both to facilities and to individual health care providers.

Scenario #2 may apply to our work together.

 We can discuss this more together when we meet