You have the right to receive a “Good Faith Estimate”
explaining how much your medical care will cost
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
You have the right to receive a Good Faith Estimate for the total
expected cost of any non-emergency items or services. This includesrelated costs like medical tests, prescription drugs, equipment, andhospital fees.
Make sure your health care provider gives you a Good Faith Estimatein writing at least 1 business day before your medical service or item.
You can also ask your health care provider, and any other provider youchoose, 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 FaithEstimate, 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, visit www.cms.gov/nosurprises or call 305-972-5564.
Disclaimer
This Good Faith Estimate shows the costs of items and services that are
reasonably expected for your health care needs for an item or service. The
estimate is based on information known at the time the estimate was
created. The Good Faith Estimate does not include any unknown or
unexpected costs that may arise during treatment. You could be charged
more if complications or special circumstances occur. If this happens,
federal law allows you to dispute (appeal) the bill.
For questions or more information about your right to a Good Faith
Estimate, visit www.cms.gov/nosurprises or call 916-454-2345.