No Surprises Act
Effective January 1, 2022, the No Surprises Act, which Congress passed as part of the Consolidated Appropriations Act of 2021, is designed to protect patients from surprise bills for emergency services at out-of-network facilities or for out-of-network providers at in-network facilities, holding them liable only for in-network cost-sharing amounts. The No Surprises Act also enables uninsured patients to receive a good faith estimate of the cost of care.
You have the right to receive a “Good Faith Estimate” explaining how much your medical treatment will cost.
Under the law, healthcare providers are required to give patients who don’t have insurance or who have opted out of using their insurance an estimate of the bill for medical items and treatment services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes costs related to medical tests, prescription drugs, equipment, and hospital fees.
Make sure your healthcare provider gives you a Good Faith Estimate in writing at least one business day before your medical treatment. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.
If you receive a bill that is $400 more than your Good Faith Estimate, you have the right to 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 cms.gov/nosurprises or call 1-800-MEDICARE (1-800-633-4227).