MyChart®
No Surprises Act (NSA)
“Good Faith Estimate”
The No Surprises Act (NSA) requires healthcare providers to furnish uninsured and self-pay patients with a good-faith estimate of total out-of-pocket costs for services upon request, or within a specific timeframe after an appointment is scheduled.
For more information, read below or download the PDF:
Understanding Your Rights:
You have the right to 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.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- 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.
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.
Download the PDF:
Pediatric Care
