No Surprises Act

You have the right to receive a “Good Faith Estimate”explaining how much your medical care will cost. Under the law, health care providers are required to give those who do not 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 includes related costs like medical tests, prescription drugs, equipment, and hospital fees. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. This estimate is not a contract and does not obligate you to obtain any services. The estimate is based on information known at the time the estimate was created. The Good Faith Estimate may not include any unexpected or additional costs (including but not limited to any late cancellation/no show and legal fees.) related to your unexpected needs and/or clinical necessity that may arise during treatment.

Make sure your health care provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

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 800-985-3059.