Good Faith Estimate Statement

The No Surprises Bill enacted on January 1, 2022 requires that all potential clients who won’t be using insurance be given a Good Faith Estimate (GFE) of expected charges that may be billed for services they are seeking.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost in the event that we work together.

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

• 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 like medical tests, prescription drugs, equipment, and hospital fees.

• Make sure 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 healthcare 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 https://www.cms.gov/nosurprises/ending-surprise-medical-bills or call 800-985-3059.