Your Right to a "Good Faith Estimate"

Under the No Surprises Act

You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health 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 expected charges for medical services, including psychotherapy services.

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.

• You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.

• If you schedule a service at least three business days in advance, your health care provider must give you a Good Faith Estimate in writing at least 1 business day after scheduling. If you schedule a service at least 10 business days in advance, your provider must give you a Good Faith Estimate in writing within 3 business days after scheduling.

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

• Make sure to save a copy or picture 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.