Good Faith Estimate

Disclosures

You have the right to request a good faith estimate of the cost of nonemergency health care services under Federal law.

A patient may ask for an estimate of the amount the patient will be charged for a nonemergency medical service provided. Federal law requires that we provide a good faith estimate to patients who don’t have insurance or who are not using insurance. The Good Faith Estimate must be provided within 3 business days of your request, or within 1 or 3 business days of scheduling depending on the date services are to be provided.

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 facility 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, click here or dial 1-800-985-3059 for more information about your rights under federal law.