No Surprises Act

You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost. This is designed to protect clients from receiving unexpected medical bills.

Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like psychotherapy, psychological testing, professional consultation, and assessment measures.

  • If you schedule a health care service at least 3 business days in advance, make sure your health care provider gives you a Good Faith Estimate within 1 business day after scheduling. If you schedule a health care service at least 10 business days in advance, make sure your health care provider gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider for a Good Faith Estimate before you schedule a service. If you do, make sure the healthcare provider gives you a Good Faith Estimate within 3 business days after you ask.

  • If you receive a bill that is at least $400 more for any provider than your Good Faith Estimate from that provider, you can dispute the bill.

  • Make sure to save a copy or picture of your Good Faith Estimate and the bill.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers,email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.