No Surprises Act — Good Faith Estimate

You have the right to receive a "Good Faith Estimate" explaining how much your health care will cost.

Under the No Surprises Act, health care providers must give clients who do not have insurance, or who are not using insurance, an estimate of the expected charges for medical services, including psychotherapy and psychological testing services.

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services, including psychotherapy and testing, before you receive them.
• You can ask for a Good Faith Estimate before you schedule a service, or at any time during treatment.
• 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 contact the office through this website.