Good Faith Estimate

You have the right to receive a “Good Faith Estimate” of the expected cost of your care.

If you are not using insurance (or are choosing not to use it), you can request an estimate of the anticipated fees for services before you begin.

If your final bill is at least $400 more than your Good Faith Estimate, you have the right to dispute the charges.

You may request a Good Faith Estimate at any time before or during treatment.

For more information about your rights under the No Surprises Act, visit www.cms.gov/nosurprises.