Good Faith Estimate Notice

Official Notice:

Right to Receive a Good Faith Estimate of Expected Charges Under the No Surprises Act

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

Under Section 2799B-6 of the Public Health Service Act, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services.

You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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 (800) 985-3059.

Note from Nicolette Leffler, RD:

It is highly unlikely this could affect our work together. There will be no situation in which you would “inadvertently” receive care from me or with no choice or foreknowledge. Any appointments are scheduled by you or during appointment with your sole input. Additionally, optional testing and supplements are always discussed beforehand and entirely your choice whether to purchase or not. There will never, under any circumstances, be ‘surprise’ costs.