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Effective Date: May 07, 2024

Good Faith Estimate

  • Overview: As per the Medicare “No Surprises Act”, we provide a “Good Faith Estimate” which explains the anticipated cost of your medical care.

  • Applicability: This estimate is provided to patients who do not have insurance or are choosing not to use insurance, detailing the expected bill for medical items and services.

  • Rights: You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.

  • Format: Your Good Faith Estimate will be provided in writing.

  • Proactive Request: You can request a Good Faith Estimate from any provider before scheduling an item or service.

  • Dispute Process: If your actual bill exceeds your Good Faith Estimate by at least $400, you have the right to dispute the bill.

  • Record Keeping: Ensure to save a copy or picture of your Good Faith Estimate.

  • Additional Information: For further questions or details about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.