Good Faith Estimate for Uninsured or Self-Pay Patients
If you are uninsured, or you are insured but you don’t plan to file a claim with your health plan, health care providers must give you a good faith estimate of what their expected charges will be before you get the services.
Providers must give you the good faith estimate:
For services scheduled at least 3 business days ahead of time, within 1 business day of scheduling the service;
For services scheduled at least 10 business days ahead of time, within 3 business days of scheduling the service; or
When you ask for the good faith estimate, within 3 business days of you asking for the estimate.
The good faith estimate will include:
A description of the service you will be getting;
A list of other services that are reasonably expected to be provided with the service you are getting;
The diagnosis and expected service codes; and
The expected charges for the services.
For more information about good faith estimates, visit the CMS No Surprises Act website.