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GOOD FAITH ESTIMATE INFORMATION

 

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 (GFE) 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.

  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

  • If you receive a bill that you had not agreed to 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.

 

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises

This law was created to protect patients from surprise billing when being seen by providers or facilities that they were not able to easily identify as being out of their network. Pondera Rehabilitation & Fitness PC is a fixed rate provider when working with any clients who we are not billing insurance directly (ie those who are not traditional Medicare); your fee/charges will always be known ahead of time, prior to scheduling, and are outlined in the FAQ section on this website, as well as when booking your appointments. We manage all invoices, SuperBills and GFEs, as well as scheduling of services within the communication portal linked below. 

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