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 includesrelated costs like medical tests, prescription drugs, equipment,
andhospital fees. Make sure your health care provider gives you a Good Faith Estimatein 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 or call 1-800-985-3059.