No Surprise Act

Under the No Surprises Act (NSA), health care providers need to give patients who don’t have health insurance or who are not using health insurance, an estimate of the bill for medical items and services before those items and services are provided.

You are entitled 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, and equipment.

As per the No Surprises Act (NSA), the Good Faith Estimate might not include every item or service you get from us, even if some items or services may seem connected to the same service. In some cases, items or services related to the surgery that are scheduled separately, like certain pre-surgery appointments or physical therapy in the weeks after the surgery, might not be included in the Good Faith Estimate. You are entitled to get a separate Good Faith Estimate when you schedule those items or services with us, or if you ask for it.

If you schedule a health care item or service at least three (3) business days in advance, make sure your healthcare provider or facility gives you a Good Faith Estimate in writing within one (1) business day after such scheduling. If you schedule a health care item or service at least ten (10) business days in advance, make sure your healthcare provider or facility gives you a Good Faith Estimate in writing within three (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 three (3) business days after you ask.

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.