No Surprises Act

YOUR RIGHT TO A GOOD FAITH ESTIMATE

 

Under Section 2799B-6 of 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

submitting a claim for total items or services to their plan or coverage,

both orally and in writing of their ability to receive a “Good Faith Estimate”

of expected charges.

 

You have the right to receive a Good Faith Estimate explaining how much your

medical and mental health care will cost.

 

Under the law, health care providers must give patients who don’t have

insurance or who are not using insurance an estimate of the expected bills

for medical items and services, including psychotherapy services.

 

• You have the right to receive a Good Faith Estimate for the total expected

cost of any non-emergency items or services.

• Ensure your health care provider gives you a Good Faith Estimate in writing

at least 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.

• 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 the No Surprises Help Desk at

1-800-985-3059.