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Dynamic Counseling & Consultation Services

Counseling and Family Mediation Services     618-816-1224 (IL) 314-627-0313 (MO)

Good Faith Estimate

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


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. Your Good Faith Estimate will be provided at the time of intake or upon request.


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 records request, late cancellation fees, and court appearances, among others.


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 healthcare provider, and any other provider you chose, 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 (618) 816-1224.