Good Faith Estimates
Good Faith Estimates
Under Section 2799B-6 of the Public Health Service Act, health care providers and facilities are required to provide a Good Faith Estimate of expected health care costs for items and services to individuals who are paying out of pocket. This estimate must be provided both orally and in writing, either upon request or at the time of scheduling health care items and services.
You have the right to receive a Good Faith Estimate that explains how much your medical care will cost. According to the No Surprises Act, health care providers must give patients without insurance, or those not using insurance, an estimate of the anticipated bill for medical items and services. You are entitled to a Good Faith Estimate for the total expected cost of any non-emergency items or services, which includes related expenses like medical tests, prescription drugs, equipment, and hospital fees.
Ensure that your health care provider provides you with a written Good Faith Estimate at least one business day before your medical service or item. Additionally, you can request a Good Faith Estimate from your health care provider, or any other provider you choose, prior to scheduling an item or service.
Should you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill. Don't forget to keep a copy or picture of your Good Faith Estimate for your records. For further questions or to learn more about your rights regarding a Good Faith Estimate, visit www.cms.gov/nosurprises or call 877-696-6775.