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Fountain Pen

Good Faith Estimate 

Good Faith Estimate 

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost 

 

Under the law, healthcare 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 includes related costs like session fees, preparing and providing the court required documents, court appearance, providing treatment summary and consultation.   

 

 • Make sure your healthcare provider gives you a Good Faith Estimate in writing at least 1 business day before your psychotherapy 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 HHS at  800- 368-1019 or 410-786-3000

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