Good Faith Estimate notice.

You have the right to a Good Faith Estimate

Under Section 2799B-6 of the Public Health Service Act, health care providers need to give patients who do not have insurance, or who are not using insurance, an estimate of the bill for health care items and services before those items or services are provided.

What this means for you

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.
• This includes costs for therapy sessions and any associated services.
• You can ask your health care provider, or any other provider you choose, for a Good Faith Estimate before you schedule an item or service, or any time you ask.
• If you receive a bill that is at least 00 more than your Good Faith Estimate, you can dispute the bill.
• Keep a copy of your Good Faith Estimate in a safe place or take a picture of it. You may need it if you are billed a higher amount.

How to request one

Call 708-374-7868 and ask for a Good Faith Estimate before your first appointment, or at any time during care. We will provide it in writing within the timeframe required by law.

More information

For more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises or call 1-800-985-3059.