Good Faith Estimate
Billing@RiseUpHealthClinics.org
If you do not have health insurance or you plan to pay for health care bills yourself, generally, health care providers and facilities must give you an estimate of expected charges when you schedule an appointment for a health care item or service, or if you ask for an estimate. This is called a “Good Faith Estimate.”
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services.
You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. Providers must give you the Good Faith Estimate:
After you schedule a health care item or service. If you schedule an item or service at least 3 business days before the date you will get the item or service, the provider must give you a Good Faith Estimate no later than 1 business day after scheduling. If you schedule the item or service, OR ask for cost information about it at least 10 business days before the date you get the item or service, the provider or facility must give you a good-faith estimate no later than 3 business days after you schedule or ask for the estimate.
That includes a list of each item or service (with the provider or facility), and specific details, like the health care service code.
In a way that is accessible to you. Providers and facilities must also explain the Good Faith Estimate to you over the phone or in person if you ask, then follow up with a written (paper or electronic) estimate, per your preferred form of communication.
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 of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit:www.cms.gov/nosurprises.
