Your Rights and Protections Against Surprise Medical Bills

Under the No Surprises Act, healthcare providers are required to provide patients who are uninsured or who choose to self-pay with a Good Faith Estimate of expected charges for medical services.

You have the right to receive a Good Faith Estimate explaining the expected cost of your medical care.

If you do not have health insurance, or if you choose not to use your insurance for healthcare services, you may request an estimate of the expected charges for scheduled medical services. This estimate may include related costs such as:

• Provider fees
• Facility fees
• Laboratory services
• Imaging services
• Anesthesia
• Other medically necessary items or services related to your care 

• You may request a Good Faith Estimate before scheduling services.
• If you schedule services in advance, the provider may supply a written estimate of expected charges.
• The estimate is based on information known at the time it is created and may not include unforeseen or unexpected medical costs that arise during treatment. 

If you receive a bill that is at least $400 more than your Good Faith Estimate, you may have the right to dispute the charges through the patient-provider dispute resolution process established by federal law.

Please keep a copy of your Good Faith Estimate for your records.

For questions about your estimate or billing, please contact your provider.

For more information about your rights under the No Surprises Act, visit CMS No Surprises Act Information or Medical Bill Rights Information.

For questions or more information about your right to a Good Faith Estimate, visit:

www.cms.gov/nosurprises