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No Surprise Act

Beginning 1/01/2022, Standard Notice of “Right to Receive a Good Faith Estimate of Expected Charges” Under the No Surprises Act, PART II, for all healthcare providers to share [(enacted as part of the Consolidated Appropriations Act, 2021 (Pub.L. 116-260)]:

  • 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. This is called a Good Faith Estimate (GFE)

  • You have the right to receive a Good Faith Estimate (GFE) for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

  • Make sure your health care provider gives you a GFE in writing at least 1 business day before your medical service or item, if you do not plan to submit your receipts (or “super bill”) to your insurance company for reimbursement.

  • 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 or call this office (or your provider, if different) after you have scheduled an appointment or before your next scheduled appointment.

  • Understanding costs if you are uninsured or self-pay:

  • Fact Sheet of What you Need to Know about the Administration’s Actions to Prevent Surprise Billing:

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