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Good Faith Estimates

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


Under applicable law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services.


You have the right to receive a Good Faith for the total expected costs 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 provider gives you a Good Faith Estimate in writing at least 1 business day before your medical item or service. You may 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 further information regarding your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call the No Surprises Help Desk at 1-800-985-3059

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415.903.1373

750 Las Gallinas Ave, San Rafael

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