Good Faith Estimate
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.
● Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 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.
● 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.
Lorem ipsum dolor sit amet
Nunc lacinia, felis ut sodales commodo, sapien magna maximus orci, ac lacinia lacus risus vel turpis. Nulla rhoncus mi vel purus consectetur, sagittis tincidunt elit ultrices. Aenean tortor velit, rutrum vitae est pharetra, tempor accumsan turpis. Pellentesque vel nibh pharetra, tincidunt arcu non, dignissim ante. Morbi ac mi sed sem faucibus molestie non facilisis felis. Nulla fringilla aliquet velit, nec lobortis diam semper eu. Sed ipsum quam, ultrices condimentum congue in, condimentum a augue.
LOREM IPSUM DOLOR SIT AMET
Vestibulum felis sapien, tincidunt a enim et, hendrerit molestie turpis. Aliquam hendrerit sem vitae laoreet condimentum. Sed nisi arcu, tincidunt lacinia viverra vitae, accumsan ac nibh. Integer sed tempus massa. Nam tortor felis, faucibus vel euismod et, ornare non felis. Duis sed elementum quam. Mauris et nisi purus. Nam sed pellentesque purus, id commodo nibh. Mauris dignissim blandit suscipit. Nulla rhoncus blandit mi, eget lobortis lacus tincidunt non. Donec sollicitudin massa eu neque tincidunt, nec tincidunt justo fermentum. Nunc placerat finibus blandit. Nunc gravida bibendum diam, eget iaculis enim pharetra dapibus. Nunc justo orci, hendrerit quis blandit venenatis, mollis quis erat. Aenean justo velit, dictum at est at, fringilla tempus neque. Nunc ac posuere elit.
LOREM IPSUM DOLOR SIT AMET
Nunc lacinia, felis ut sodales commodo, sapien magna maximus orci, ac lacinia lacus risus vel turpis. Nulla rhoncus mi vel purus consectetur, sagittis tincidunt elit ultrices. Aenean tortor velit, rutrum vitae est pharetra, tempor accumsan turpis. Pellentesque vel nibh pharetra, tincidunt arcu non, dignissim ante. Morbi ac mi sed sem faucibus molestie non facilisis felis. Nulla fringilla aliquet velit, nec lobortis diam semper eu. Sed ipsum quam, ultrices condimentum congue in, condimentum a augue.