GOOD FAITH ESTIMATE Information: 

Under Section 2799B-6 of the Public Health Service Act, health care providers and  health care facilities are required to inform individuals who are not enrolled in a  plan or coverage or a Federal health care program, or not seeking to file a claim  with their plan or coverage both orally and in writing of their ability, upon  request or at the time of scheduling health care items and services, to receive a  “Good Faith Estimate” of expected charges. 

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