Your Right to Receive a Good Faith Estimate of Expected Charges

What the law says

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.
• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You 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.
• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
• Make sure to save a copy or picture of your Good Faith Estimate.

More information

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

How to get a Good Faith Estimate at Sonria Dentista

Tell the front desk that you are uninsured or that you will not use your insurance, and ask for a Good Faith Estimate. You can ask when you schedule or before you schedule. We provide it in writing:

• Within 1 business day after scheduling, if your visit is scheduled at least 3 business days ahead.
• Within 3 business days after scheduling, if your visit is scheduled at least 10 business days ahead.
• Within 3 business days after you ask, if you ask before scheduling.