No Surprises Act
& Good Faith Estimate
Per the Centers of Medicare & Medicaid Services (CMS):
The No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services, non-emergency services from out-of-network providers at in-network facilities, and services from out-of-network air ambulance service providers. It also establishes an independent dispute resolution process for payment disputes between plans and providers, and provides new dispute resolution opportunities for uninsured and self-pay individuals when they receive a medical bill that is substantially greater than the good faith estimate they get from the provider.
Self-play clients are entitled to a “Good Faith Estimate” that provides an estimate of charges for treatment. To learn more about CMS’ No Surprises Act and your rights as a self-pay client, click here.