No Surprises Act

and Good Faith Estimates

Under the NoSurprises Act

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for 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 medical tests, prescription drugs, equipment, and hospital fees.

• To ask your health care provider to give you a Good Faith Estimate in writing at least one business day 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.

• You have a right to a copy of your Good Faith Estimate.

• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill (to initiate a dispute, you must contact the U.S. Department of Health and Human Services (HHS) within 120 days of receiving the bill).

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises, call 858-789-6489, or email rachel@empoweredtalestherapy.com