Your right to receive a good faith estimate of expected charges

You have the right to receive a “Good Faith Estimate” explaining how much your healthcare will cost.

Under the law, healthcare providers need to give patients who don’t have certain types of healthcare coverage, or who are not using certain types of healthcare coverage, an estimate of their bill for healthcare items and services before those items or services are provided.

Upon request, or when scheduling healthcare items or services, you have the right to receive a Good Faith Estimate for the total expected cost of such items or services. This includes related costs such as medical tests, prescription drugs,
equipment, and hospital fees.

If you schedule a healthcare item or service at least 3 business days in advance, make sure your healthcare provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a healthcare item or service at least 10 business days in advance, make sure your healthcare provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling.

You can also ask any healthcare provider or facility for a Good FaithEstimate before you schedule an item or service. If you do, make sure the healthcare provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.

If you receive a bill that is at least $400 more for any provider or facility 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 and the bill.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.