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You have a right to receive a Good Faith Estimate on care costs.

If you do not have insurance or are not using your insurance, you have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Healthcare providers are required to offer self-pay clients and clients who elect to not use insurance an estimate of the bill for scheduled 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 late cancellation/no show fee, medical records request, completion of documents (FMLA, disability, summary letters, etc), consultations (IEP meetings, coordination of care, etc) and subpoena (request to testify).

Make sure your healthcare provider gives you a Good Faith Estimate in writing at least one (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. You make also start a dispute resolution process with US Department of Health and Human Services (HHS). If you choose to use the dispute process within 120 calendar days (about 4 months) of the date on the original bill.

There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on the Good Faith Estimate. If the agency disagrees with you and agrees with the healthcare provider or facility, you will have to pay the higher amount. To learn more and get a form to start the process, go to www.cms.gov/nosurprises.

For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov.nosurprises or call 800-633-4227.