Your Right to a Good Faith Estimate

You have the right to receive an estimate explaining how much your care will cost.

Under federal law, health care providers must give patients who do not have insurance, or who are not using insurance, an estimate of the expected charges 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 such as testing, scoring, and report preparation.

You can ask any health care provider for a good faith estimate before you schedule an item or service.

If you schedule an item or service at least 3 business days in advance, your provider must give you a good faith estimate in writing within 1 business day of scheduling. You can also ask for one before you schedule.

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 a 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.

To request a good faith estimate, contact Dr. Dan Jovanovic at (941) 699-4797.