You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost
Under the law, health care providers need to give clients (patients) who either do not have insurance or will be paying privately for their services an estimate of their bill for health care items and services before those items or services are provided.
You have the right to recieve a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling those items. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
If you schedule a session at least 3 business days in advance, make sure your provider gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a session at least 10 business days in advance, make sure your provider give you a Good Faith Estimate in writing within 3 business days.
You may also ask for the Good Faith Estimate prior to scheduling any service.
If you receive a bill that is atleast $400 more than your Good Faith Estimate from your provider, you may dispute the bill.
Make sure you save a copy or picture of your Good Faith Estimate and the bill.
The Good Faith Estimate does not apply to clients using their insurance. Each client is responsible for understanding their benefits. All copays, coinsurances and deductibles are determined and set by their insurance company and they are responsible to make these payments in a timely fashion.
For more information or questions about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers
Or email FederalPPDRQuestions@cms.hhs.gov
Or call 1-800-985-3059