Good Faith Estimate
Under the law, those who don’t have insurance or need financial assistance paying their bill have the right to request a Good Faith Estimate for the total expected cost of any services associated to your visit at our centers.
Upon request, a Good Faith Estimate can be provided to you in writing at least 1 business day before your medical service. You can also ask your health care provider for a Good Faith Estimate before you schedule an appointment.
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.
GFE is an estimate and subject to change.
Patient’s right to initiate dispute resolution process.
May be additional services.
GFE is not a contract.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or email feedback@LCHservices.org.