Your Right to a Good Faith Estimate

You have the right to receive a "Good Faith Estimate" explaining how much your care will cost.

Under the law, health care providers need to give clients who don't have insurance, or who are not using insurance, an estimate of the bill for 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 includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your service. You can also ask your health care provider, and any other provider you choose, 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.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.

You can also ask me for a Good Faith Estimate at any time, before or after scheduling.