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Good Faith Estimate

  • If you don't have insurance or chose not to use insurance, you have the right to receive a “Good Faith Estimate” explaining how much your any non-emergency items or services will cost. This is called a Good Faith Estimate (GFE)

  • Make sure your health care provider gives you a GFE in writing at least 1 business day before your medical service or item, if you do not plan to submit your receipts (or “super bill”) to your insurance company for reimbursement.

  • You can ask for a Good Faith Estimate before you schedule a 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 this office (or your provider, if different) after you have scheduled an appointment or before your next scheduled appointment.

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