Good Faith Estimate Notice

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

  • Under the “No Surprise Act” law, health care providers give patients (who don’t have insurance or who are not using insurance) an estimate of the cost for medical services. 

  • You have the right to receive a Good Faith Estimate for the total expected cost of any nonemergency services. 

  • Your health care provider will give you a Good Faith Estimate at least one business day before initial services. You can also ask this health care provider (or any other provider) for a Good Faith Estimate before you schedule a service. 

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

  • Please save a copy of your Good Faith Estimate for your records. 

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.