NO SURPRISES ACT - GOOD FAITH ESTIMATE

Per the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.

Individuals who are not enrolled in a plan or coverage or a Federal health care program (uninsured individuals), or individuals who are enrolled but not seeking to file a claim with their plan or coverage (self-pay individuals) have the right to a “Good Faith Estimate” to help them estimate the expected charges they may be billed for receiving certain health care items and services.

  • Information regarding the availability of a “Good Faith Estimate” will be prominently displayed on our website and in the office where scheduling or questions about the cost of health care occur.
  • Be sure to receive a good faith estimate for treatments prior to your treatment in verbal or written format, depending on the circumstances of our communication.
  • If you are billed at least $400 more than your good faith estimate, you can dispute claim.

Visit https://www.cms.gov/nosurprises for more information.

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