Right to Receive a Good Faith Estimate of Expected Charges

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.

• You have the right to receive a Good Faith Estimate 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 Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare 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 www.cms.gov/nosurprises or call 1 (800) 633-4227.

获得对预期费用的善意估计的权利

您有权获得“善意估计”，说明您的医疗费用。

根据法律规定，医疗保健提供者需要向没有保险或未使用保险的患者提供医疗项目和服务的估计费用。

• 您有权获得任何非紧急物品或服务的预期总成本的善意估算。这包括相关费用，如体检、处方药、设备和住院费用。

• 确保您的医疗保健提供者在您的医疗服务或项目之前至少 1 个工作日以书面形式向您提供善意估计。在安排项目或服务之前，您还可以向您的医疗保健提供者和您选择的任何其他提供者询问诚信评估。

• 如果您收到的账单至少比您的诚信估计高出 400 美元，您可以对该账单提出异议。

• 确保保存一份您的诚信评估的副本或图片。

有关您获得善意估计的权利的问题或更多信息，请访问 www.cms.gov/nosurprises 或致电 1 (800) 633-4227。