Additional Info

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You have the right to receive a “Good Faith Estimate”  explaining how much your health care will cost  Under the law, health care providers need to give patients who don’t have certain types of  health care coverage or who are not using certain types of health care coverage an  estimate of their bill for health care items and services before those items or services are  provided.  • You have the right to receive a Good Faith Estimate for the total expected cost of  any health care items or services upon request or when scheduling such items or  services. This includes related costs like medical tests, prescription drugs,  equipment, and hospital fees. • If you schedule a health care item or service at least 3 business days in advance,  make sure your health care provider or facility gives you a Good Faith Estimate in  writing within 1 business day after scheduling. If you schedule a health care item or  service at least 10 business days in advance, make sure your health care provider  or facility gives you a Good Faith Estimate in writing within 3 business days after  scheduling. You can also ask any health care provider or facility for a Good Faith  Estimate before you schedule an item or service. If you do, make sure the health  care provider or facility gives you a Good Faith Estimate in writing within 3  business days after you ask. • If you receive a bill that is at least $400 more for any provider or facility than your  Good Faith Estimate from that provider or facility, you can dispute the bill.  For questions or more information about your right to a Good Faith Estimate, visit  www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1- 800-985-3059.