Good Faith Estimate

You Have the Right to Receive a Good Faith Estimate

If you do not have insurance or do not plan to use insurance to pay for an item or service, federal law generally requires the health care provider or facility to give you a Good Faith Estimate of expected charges when you request one or schedule qualifying care in advance.

The estimate should include expected charges for the scheduled item or service. Other providers or facilities involved in your care may issue separate estimates. An estimate is not a contract and does not require you to receive the service.

If you schedule care at least 3 business days in advance, the estimate is generally due within 1 business day after scheduling. If you schedule at least 10 business days in advance, or request an estimate before scheduling, it is generally due within 3 business days.

If a provider bills at least $400 more than that provider's Good Faith Estimate, you may be able to use the federal patient-provider dispute process. Save a copy of the estimate and bill.

For federal information, visit https://www.cms.gov/nosurprises or call 1-800-985-3059.

Requesting an Estimate

Contact Tea Wask at (201) 819-0484 and state that you are uninsured or do not plan to use insurance and would like a Good Faith Estimate. The organization should add its approved billing contact and estimate-delivery process before publication.