Your Right To Receive

A Good Faith Estimate

Effective Date: January 2024

You have the right to receive a Good Faith Estimate explaining how much your health care will cost. 

Under the law, healthcare providers need to give patients who don’t have insurance or who are not 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 healthcare services. 

You can ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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. 

For questions or more information about your right to a Good Faith Estimate, Visit:

www.cms.gov/nosuprises

Mailing address: P.O. Box 824 Dripping Springs, TX 78620

Call:512-651-0341

Email: info@solaceandsage.org

Site:

www.solaceandsage.org

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