Good Faith Estimate Notice
Under the “No Surprises Act,” effective January 1, 2022, health care providers are required to give clients who don’t have insurance or who are not using insurance a Good Faith Estimate of expected charges for services.
- You have the right to receive a Good Faith Estimate for the total expected cost of non‑emergency services.
- Your Good Faith Estimate will be provided in writing at least 3 days before services begin, and you may request one at any time.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Please take a photo and save a copy 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 800‑985‑3059.
