No Surprises Act / Good Faith Estimate Notice

Under Section 2799B-6 of the Public Health Service Act, you have the right to receive a Good Faith Estimate explaining how much your health care services will cost.

Under federal law, health care providers are required to provide individuals who do not have insurance or who are not using insurance with an estimate of the expected charges for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services. This may include related costs associated with your care.

You may request a Good Faith Estimate before scheduling services. If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill.

Be sure to save a copy of your Good Faith Estimate for your records.

For questions or more information about your right to a Good Faith Estimate, please visit the Centers for Medicare & Medicaid Services website at www.cms.gov/nosurprises.