OCD SPECTRUM INFORMATION

Good Faith Estimate

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

YOUR PATIENT RIGHTS

What Is a Good Faith Estimate?

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.

KEY POINTS TO KNOW

Your Rights Under the Law

Written Estimate RequiredMake sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item.

Request AnytimeYou can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

Dispute Unexpected BillsIf you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

Keep Your EstimateMake sure to save a copy or picture of your Good Faith Estimate for your records.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call (412) 444-8776.

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HAVE QUESTIONS?

We Are Here to Help

If you have any questions about your Good Faith Estimate or our fees, please don’t hesitate to reach out. Our team is happy to walk you through the process.

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