Use the form BELOW contact us. Form submissions are responded to within 24 hours.

Alternatively, you can reach us by phone or by emailing us directly.

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

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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..

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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, prescription drugs, equipment, and hospital fees.

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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 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.

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