What is the Good Faith Estimate (GFE)?

Notice of Right to Receive a Good Faith Estimate of Expected Charges – Effective 1/1/2023

You are entitled to receive a "Good Faith Estimate" detailing the anticipated costs of your medical care. This provision is also commonly known as the "No Surprises Act."

As per legal requirements, healthcare providers are obligated to furnish patients without insurance or those not utilizing insurance with an estimate of expenses for medical items and services:

• You have the entitlement to obtain a Good Faith Estimate encompassing the total anticipated expenses for any non-emergency items or services. This contains associated costs such as medical tests, prescription drugs, equipment, mental health services, and hospital fees.

• Your healthcare provider must provide a written Good Faith Estimate at least one business day before the scheduled medical service or item. Also, you can ask for a Good Faith Estimate from your healthcare provider or any other chosen provider before scheduling an item or service.

• If you receive a bill exceeding your Good Faith Estimate by at least $400, you reserve the right to dispute the bill.

• Please make sure you keep a copy or a snapshot of your Good Faith Estimate.

For inquiries or additional information regarding your right to a Good Faith Estimate, please visit www.cms.gov/nosurprises.