Under federal law, health care providers must give patients who are uninsured or who choose not to use their insurance (self-pay) an estimate of their bill for health care items and services before those items or services are provided.
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 such items or services. This includes related costs like medical tests, prescription drugs, equipment, and facility fees (if applicable).
If you schedule a health care service at least 3 business days in advance, your provider must give you a Good Faith Estimate in writing within 1 business day after scheduling.
If you schedule at least 10 business days in advance, your provider must give you a Good Faith Estimate in writing within 3 business days after scheduling.
You can also request a Good Faith Estimate before you schedule any services. If you do, your provider must give you the estimate in writing within 3 business days after your request.
If you receive a bill that is at least $400 more than your Good Faith Estimate from that provider, you have the right to dispute the bill.
Keep a copy of your Good Faith Estimate. You may need it if you receive a bill that is higher than expected.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email [email protected], or call 1-800-985-3059.
Provider Contact Information
Duran ADHD & Behavioral Health Clinic PLLC
Phone: (425) 361-4294