Good Faith Estimates

Your right to know

You have the right to get a “Good Faith Estimate” that explains how much medical care will cost. By law, health care providers must 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 get a Good Faith Estimate for the total expected cost of any non-emergency items or services.

This includes related costs like:

• Medical tests
• Drugs administered in a hospital setting
• Hospital services
• Employed Physician Services

Make sure your health provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item is delivered.

• You can ask for a Good Faith Estimate from any provider before you schedule an item or service.
• You can dispute (argue) any bill that you get that is at least $400 more than your Good Faith Estimate.

Always save a copy or picture of your good faith estimate.

Do you have questions would you like more information about your right to a Good Faith Estimate? Visit cms.gov/nosurprises

To get a Good Faith estimate, visit henryford.com/estimate or call (888) 455-2678.