GOOD FAITH ESTIMATE

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

Under the law, health care providers must give an estimate of the cost for medical items and services to patients who don't have insurance or who are not using insurance.

• 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 therapeutic equipment or topical therapies.
• Ensure that your health care provider gives you a Good Faith Estimate in writing at least one (1) 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.
• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
• Be sure to save a copy or image of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises