Good Faith Estimate

Effective January 1, 2022, a ruling went into effect called the "No Surprises Act" which requires practitioners to provide a “Good Faith Estimate” for out-of-network care. A Good Faith Estimate is meant to show the cost of items and services that are reasonably expected for your health care needs. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment.

Health care providers and health care facilities are required to inform individuals who are do not have insurance or are not using their insurance plan 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.

Although it is not possible to know exactly how many sessions will be needed at the time the estimate is made, your provider can still make a Good Faith Estimate based off your current needs at the time it is requested.

The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill.

Please be sure to save a copy of the Good Faith Estimate because if you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available. You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS).

For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call 800-985-3059.