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Faith Estimate
Good Faith Estimate of Expected Charges
Your Right to a Good Faith Estimate of Expected Charges
For uninsured/self-pay patients:
You have the right to request and receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services before the patients receive those items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling your appointment for those items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Upon scheduling your procedure or service, Gastroenterology of the Rockies will send you a Good Faith Estimate in writing.
- Make sure to save a copy or picture of your Good Faith Estimate.
If you believe you have been wrongly billed, please contact Gastroenterology of the Rockies at 303-604-5000.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers,
email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.