Your right to understand expected costs
Good Faith Estimate
Information for clients who are uninsured or not using insurance.
Under federal law, health care providers generally must give patients who do not have insurance, or who are not using insurance, an estimate of expected charges for scheduled services when applicable.
This page is a template and is not legal advice. Replace it with the current notice provided by your billing platform, professional association, attorney, or compliance consultant. Include instructions for requesting an estimate, the expected timing, and the federal patient-provider dispute process.