Good Faith Estimate
Effective January 1, 2022, 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 do not have insurance or who are not using insurance an estimate of the bill for medical items and services. The estimate is based upon what care is reasonably expected to be, at the time in which the estimate is issued. If there are significant changes to the plan of care due to changing circumstances, a new estimate may be issued.
- 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 for the evaluation and the plan of care.
- Make sure your health care 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 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.
- The good faith estimate expires after one year.
- Make sure to save a copy or picture of your Good Faith Estimate.
*This regulation does not impact patients who are using their Medicare or private insurance coverage.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises