The Legalities
No Surprises Act
In compliance with the No Surprises Act, effective January 1, 2022, you have a right to transparency in all fees you may incur while under the care of your out-of-network provider. Your provider does not contract with insurance; therefore, all fees must be paid upfront for services rendered. It is always your choice to receive or discontinue services, and you will not be charged differently than the outlined fees without prior notice.
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.
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You have a right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.
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Make sure your health care provider gives you a Good Faith Estimate in writing at least one 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.
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If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
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Make sure to save a copy or picture of your Good Faith Estimate.
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For questions or more information about your right to a Good Faith Estimate, visit: www.cms.gov/nosurprises.
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