Your right to a Good Faith Estimate
If you don't have health insurance, or you have it but aren't using it, you have the right to know what your care is expected to cost before you get it.
Draft based on the federal No Surprises Act notice. The practice should confirm how it prepares and delivers estimates.
What the law says
Under federal law, health care providers have to give people who don't have insurance, or who aren't using it, an estimate of the expected charges for their care. It's called a Good Faith Estimate.
You can get one for the total expected cost of any non-emergency items or services, including related costs.
Make sure you get it in writing at least one business day before your service. You can also ask for one before you schedule anything.
If you're billed at least $400 more than your Good Faith Estimate, you can dispute the bill. Keep a copy or a photo of your estimate.
For questions or more information, visit www.cms.gov/nosurprises or call 1-800-985-3059.
At Rising Lotus
This applies to anyone paying for sessions themselves or choosing not to use insurance.
To ask for an estimate, tell us when you reach out, or call (914) 734-5248. We'll give it to you in writing.