Good Faith Estimate
Know the expected cost before self-pay care.
Federal law generally gives uninsured individuals—and people choosing not to use insurance—the right to receive an estimate of expected charges for scheduled care.
An estimate, not a bill
Your right to cost information.
You may ask Thrivewell Health for a Good Faith Estimate before scheduling, or receive one after scheduling when the federal requirements apply. The estimate describes charges reasonably expected for the identified period or service based on information available at the time.
Actual services or charges may differ if your needs or treatment plan change. A Good Faith Estimate is not a contract and does not require you to receive care from the providers listed.
If a bill from a provider is at least $400 more than that provider’s expected charges shown on your Good Faith Estimate, you may be eligible for the federal patient-provider dispute-resolution process. Keep a copy of your estimate and bill.
Request an estimateLearn more from the federal government.
Visit CMS: Ending Surprise Medical Bills or call 1-800-985-3059 for information about your rights.