No Surprises Act – Good Faith Estimates

 

Under the No Surprises Act, patients now have the right to receive a “Good Faith Estimate” explaining how much their health 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, dental, and behavioral health items and services provided by an Upper Great Lakes Family Health Center (UGL) provider.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services provided by a UGL provider. This includes related costs like medical office visits, behavioral health visits, and dental fees.
  • If your appointment is scheduled 3 or more days in advance, your Good Faith Estimate will be mailed, emailed, or available on the Patient Portal. If your appointment is scheduled less than 3 days in advance, you must request a Good Faith Estimate in order to receive one.
  • 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.
  • Please note: Good Faith Estimates are only available to those patients who do not have insurance or are not using insurance.

 

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 906-483-1130, option 2.



Upper Great Lakes Family Health Center (UGL) is a Federally Qualified Health Center and is a Federal Tort Claims Act (FTCA) Deemed Facility.
UGL receives funding from The U.S. Department of Health and Human Services and has Federal Public Health Service deemed status with respect to certain health or health-related claims, including medical malpractice claims for itself and its covered individuals.
This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number H80CS26511 Health Center Cluster, total award amount of $1,839,050 with 89.9 % financed from nongovernmental sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.