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 need to give patients who do not have insurance or who are not using insurance an estimate of the expected charges for medical services, including therapy and other mental health services.

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• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes therapy and other mental health services.

• You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service, or at any time during treatment.

• If you receive a bill that is more than $400 greater than your Good Faith Estimate, you can dispute the bill.

• Make sure to save a copy or picture of your Good Faith Estimate.

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If you have questions or would like more information about your right to a Good Faith Estimate, or would like to know how to dispute a bill you can visit www.cms.gov/nosurprises.