Good Faith Estimate

Good Faith Estimate Disclosure

You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost. Under the federal No Surprises Act law, health care providers need to give patients who don't have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.

Requesting Your Good Faith Estimate

• You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, and durable medical equipment.
• If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling.
• If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider gives you a Good Faith Estimate in writing within 3 business days after scheduling.
• You can also ask your health care provider or the practice for a Good Faith Estimate before you schedule an item or service. If you do, make sure the healthcare provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.

Disputing a Bill

If you receive a bill that is at least $400 or more for your provider than the Good Faith Estimate received by you from that provider, you can dispute the bill.

Make sure to save a copy or picture of your Good Faith Estimate and the bill.

More Information About Your Rights

For questions or more information about your right to a Good Faith Estimate, you can contact the Centers for Medicare & Medicaid Services (CMS) using the following resources: