CLIENT DISCLOSURE UNDER THE “NO SURPRISES ACT”

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost

Under the federal No Surprises Act (HR 133, PL 116-260), healthcare providers need to give clients and patients who do not 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 tests, equipment, and hospital fees. 

• Make sure your healthcare provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your healthcare 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 us at (720) 465-2023.