You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, healthcare providers are required 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 includes related costs such as medical tests, prescription drugs, equipment, and hospital fees.
Make sure your healthcare provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also request a Good Faith Estimate from your healthcare provider, as well as any other provider you choose, before scheduling an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to 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.
COMPLAINTS
You may make a complaint to us or to the Secretary of Health and Human Services if you believe your privacy rights have been violated. You may file a complaint with us by notifying our Office Manager. We will not retaliate against you for filing a complaint.
For further information about the complaint process, contact the Office Manager.
This Policy was published and becomes effective on October 01, 2022.
