Good Faith estimate

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

Under the law, healthcare 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 for the total expected cost of any non-emergency items or services.

Make sure your healthcare 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 is at least $400 more than your Good Faith Estimate, you can dispute the bill.

At CARE Counseling, you will be provided a Direct Pay, Out of Network, or Opting Out of Insurance form with the amount you will be charged for your sessions. You will be required to sign this agreement prior to starting services. Please reach out if you have any questions.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 612.223.8898.

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