Good Faith Estimate
You are entitled to receive a “Good Faith Estimate,” which outlines the anticipated cost of your healthcare services.
Legally, healthcare providers are required to furnish an estimated cost for medical items and services to patients who either lack specific types of health coverage or choose not to utilize certain coverage, prior to the provision of those items and services.
-
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, and equipment.
-
If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or clinic gives you a Good Faith Estimate in writing within 1 business day before your health care service or item. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask your health care provider or facility 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 from that provider or facility, you can 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 CMS.GOV/NOSURPRISES or call 1-800-985-3059.