Good Faith Estimate
Your Right to a Cost Estimate
Your Right to a Good Faith Estimate
You have the right to receive a "Good Faith Estimate" explaining how much your healthcare services will cost. Under federal law (the No Surprises Act), healthcare providers must give patients who don't have insurance or who are not using insurance an estimate of the expected charges for scheduled services.
What You Should Know
Request an Estimate
You can ask your healthcare provider for a Good Faith Estimate before scheduling a service, or at any time during your care.
Written Estimate
If you schedule a healthcare service at least 3 business days in advance, you must receive a written Good Faith Estimate within 1 business day after scheduling.
Estimate Contents
The estimate should include the expected cost of any items or services that are reasonably expected to be provided together with the primary scheduled service.
If Your Bill Is Higher Than Expected
If you receive a bill that is at least $400 more than your Good Faith Estimate, you may have the right to dispute the bill. You can start the dispute process by contacting the provider or initiating a patient-provider dispute resolution process.
Important: Save a copy of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.
Request an Estimate
To request a Good Faith Estimate for your speech therapy services, please contact us:
Dysphagia Therapy Plus CM, LLC
This page provides general information about your rights under federal law. It does not constitute a Good Faith Estimate. Please contact us directly to request an estimate for your specific services.