Good Faith Estimates
(No Surprises)

The No Surprises Act requires that health care providers provide an estimate of the bill for any items or services, to clients or patients who do not have insurance or who are not using insurance.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. The Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill.

Make sure your health care provider gives you a Good Faith Estimate in writing at least 72 hours 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 more than $400 greater than your Good Faith Estimate, you have the right to dispute the bill. You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.

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 our office at 719-373-0051.