Good Faith Estimate
Good Faith Estimates
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the No Surprises Act, health care providers need to give patients who don’t have insurance, or who are not using their insurance, an estimate of the bill for medical items and services.
What does that mean, specifically?
You have the right to receive a Good Faith Estimate (GFE) for the total expected cost of any non-emergency services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees. (Dr. Fratila does not provide those items and services. However, providers who do must give you a GFE that includes their cost.)
Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your service. You can also ask your health care provider for a GFE before you schedule a service.
If you receive a bill that is at least $400 more than your GFE, you can dispute the bill.
Make sure to save a copy or picture of your GFE.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises. Also, you can call HHS at 877-696-6775. Alternatively, you can read more about this provision of the law in this pdf on the CMS website.
DISCLAIMER: Good Faith Estimates show the costs of items and services that are reasonably expected for your health care needs for an item or service. Such estimates are based on information known at the time the estimate was created. A Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill. (If the bill is at least $400 more than your GFE, as noted above.)
PLEASE BE ADVISED that a Good Faith Estimate is not a contract. You are not obligated to receive services from Dr. Fratila. At your request, Dr. Fratila can provide you with alternative referrals for treatment.