Good Faith Estimate

Good Faith Estimate

Your right to a Good Faith Estimate

Under the federal No Surprises Act, you have the right to receive a Good Faith Estimate explaining how much your medical or mental health care will cost if you are uninsured or paying out-of-pocket.

Placeholder — standard No Surprises Act language and request instructions to be finalized with Andrea before launch.

  • You can request a Good Faith Estimate before scheduling, or at any point during your care.
  • The estimate will include expected charges for the services you’re seeking.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute it.
  • Keep your Good Faith Estimate for your records.

Requesting one

To request a Good Faith Estimate, [placeholder — contact instructions].

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.