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Good Faith Estimate

By law, if a patient requests it, health care providers must give patients an estimate of the bill for medical items and services - if the patient doesn’t have insurance or isn't using insurance to cover the service (i.e., cash pay or private pay). This estimate is called a "Good Faith Estimate".

•You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services if you request it from the provider. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

•If you'd like one, make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service. 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 1-800-985-3059.

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