Your Right to a Good Faith Estimate

You have the right to receive a Good Faith Estimate of what your care will cost.

Under the No Surprises Act, health care providers must give patients who don't have insurance, or who aren't using insurance, an estimate of the expected charges for medical services.

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency 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 any provider 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.

Oakwell Psychiatry provides a Good Faith Estimate in writing to every self-pay patient before their first visit, whether or not you ask for one. We'll also go over expected costs with you by phone when you schedule, or any time you ask. Estimates are available in accessible formats and in your preferred language on request — just call (512) 645-2895.

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