Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

 

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, examinations, office visits, prescription drugs, and equipment (items or services reasonably expected to be furnished by this practice.
  • Make sure your healthcare provider give you a Good Faith Estimate in writing at least 1 business before your medical service or item. You can also ask your healthcare 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 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 or call (916) 961-3434.

Carmichael Office

6620 Coyle Avenue,
Suite 202

Carmichael, CA 95608

Roseville Office

576 N Sunrise Avenue,
Suite 230

Roseville, CA 95661

Folsom Office

1580 Creekside Drive,
Suite 100 & 110

Folsom, CA 95630

Phone: 916-961-3434

Text: 279-800-4542

Fax: 916-961-0540

Hours: Monday - Friday, 8am-5pm

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