The No Surprises Act protects you from unexpected medical bills for certain services. This law

ensures that individuals who are uninsured or self-paying for services receive a Good Faith Estimate

(GFE) of the expected cost of their care before receiving services.

Your Rights Under This Law:

- You have the right to receive a Good Faith Estimate explaining how much your medical or mental

health care will cost before you receive services.

- Healthcare providers must give you this estimate at least one business day before your scheduled

service.

- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the

charges.

- You have the right to ask for an updated estimate if your treatment plan changes.

Who This Applies To:

- Individuals who do not have insurance

- Individuals who choose to self-pay for services

- Individuals receiving out-of-network care

How to Request a Good Faith Estimate:

If you are uninsured or choosing to pay out-of-pocket, you can request a Good Faith Estimate from

your provider before scheduling your appointment.

For More Information:

Visit the official CMS website for more details on the No Surprises Act:

If you believe you've been wrongly billed, you can dispute charges by visiting the CMS website or

calling 1-800-985-3059.