Your Right to a “Good Faith Estimate”
You are entitled to receive a “Good Faith Estimate” detailing the expected costs of your medical care.
Under federal law, healthcare providers must provide an estimate of the total costs for medical items and services to patients who are uninsured or not using insurance.
What You Should Know
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services. This includes related expenses, such as medical tests, prescription medications, equipment, and facility fees.
- If you schedule a service at least 3 business days in advance, your provider must give you a written Good Faith Estimate within 1 business day of scheduling.
- If you schedule at least 10 business days in advance, the written estimate is due within 3 business days of scheduling.
- If you ask for a Good Faith Estimate without scheduling, it must be provided within 3 business days of your request.
- You can request a Good Faith Estimate from your healthcare provider or any other provider before scheduling a service.
- Our out-of-network fees for services can be found on our fees and insurance page.
What to Do If You’re Overcharged
If you receive a bill that exceeds your Good Faith Estimate by $400 or more, you have the right to dispute the charges.
Keep a Copy
Save a copy or take a picture of your Good Faith Estimate for your records.
Questions or More Information
For more details about your right to a Good Faith Estimate, visit cms.gov/nosurprises.
For assistance, contact Haven Psychology Group:
Phone: (813) 438-4701
Email: admin@haven-psychology.com