Good Faith Estimate Notice
Your Right to a Good Faith Estimate
Under the No Surprises Act, you have the right to receive a Good Faith Estimate of expected charges for healthcare items and services.
What Is a Good Faith Estimate?
A Good Faith Estimate is a written notice that explains how much your healthcare will cost before you receive services. Health care providers are required to give patients who don't have insurance or who are not using insurance an estimate of the expected charges for medical items and services.
Your Rights
- 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.
- You can ask your health care provider for a Good Faith Estimate before you schedule a 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.
How to Request a Good Faith Estimate
To request a Good Faith Estimate before scheduling a service, please contact us at:
More Information
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.