No Surprises Act of 2022

Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not

enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their

ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.

> 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.

> Make sure your health care provder 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.

For questions or more information about your right to a Good Faith Estimate, visit ww.cms.gov/nosurprises or call 1-800-985-3059.