Notice to Consumers

Good Faith Estimate

Effective January 1, 2022, Congress passed the No Surprises Act, a bill designed to protect patients seeking emergency services from surprise bills for medical care they receive at out-of-network facilities or for out-of-network providers at in-network facilities, holding the patient liable only for in-network cost-sharing amounts. The No Surprises Act requires healthcare providers to (1) inform consumers orally and in writing of their ability to receive a “Good Faith Estimate” of expected charges at their request or when scheduling, and (2) to provide uninsured patients or self-pay patients not using insurance, this Good Faith Estimate of expected costs.

As such, we will provide you with a good faith estimate for expected charges for services. We will provide this estimate in writing, to be updated or renewed each year or when there are changes in expected fees. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. Your healthcare provider will ask you to review and sign a Good Faith Estimate. Make sure to save a copy or picture of your Good Faith Estimate. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

Get More Information

For questions or more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises or call 1-800-MEDICARE (1-800-633-4227).