Notice of Right to Receive a Good Faith Estimate of Expected Charges

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

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 medical tests, prescription drugs, equipment, and hospital fees.
• If you schedule a health care item or service at least 3 business days in advance, make sure your
  health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after
  scheduling. If you schedule a health care item or service at least 10 business days in advance,
  make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3
  business days after scheduling. You can also ask any health care provider or facility for a Good
  Faith Estimate before you schedule an item or service. If you do, make sure the health care provider
  or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.
• If you receive a bill that is at least $400 more for any provider or facility than your Good Faith
  Estimate from that provider or facility, you can dispute the bill.

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

PRIVACY ACT STATEMENT: CMS is authorized to collect the information on this form and any
supporting documentation under section 2799B-7 of the Public Health Service Act, as added by
section 112 of the No Surprises Act, title I of Division BB of the Consolidated Appropriations Act,
2021 (Pub. L. 116-260). We need the information on the form to process your request to initiate a
payment dispute, verify the eligibility of your dispute for the PPDR process, and to determine
whether any conflict of interest exists with the independent dispute resolution entity selected to
decide your dispute. The information may also be used to: (1) support a decision on your dispute;
(2) support the ongoing operation and oversight of the PPDR program; (3) evaluate selected IDR
entity’s compliance with program rules. Providing the requested information is voluntary. But failing
to provide it may delay or prevent processing of your dispute, or it could cause your dispute to be
decided in favor of the provider or facility.