Good Faith Estimates


 

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

Under the law, healthcare 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. 

  • 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 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 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.
  • A healthcare provider is not required to issue a Good Faith Estimate if the appointment or services are scheduled less than 3 business days in advance. In this case, the patient would have to request a Good Faith Estimate.
  • Please contact your health care provider’s billing office if you are uninsured or not using insurance and would like to request a Good Faith Estimate or if you have questions regarding a Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-MEDICARE (1-800-633-4227).

 

Disclaimer

The good faith estimate shows the list of reasonably expected charges for items or services from your provider or facility. Because the good faith estimate is based on information known at the time your provider or facility creates the estimate, it won’t include any unknown or unexpected costs that may be added during your treatment.  If this happens, federal law allows you to dispute your bill.


You may contact our billing department at 281-955-0338, option 7, if your billed charges are higher than your GFE.  You can ask us to revise the bill to match your GFE, ask to negotiate the bill, or ask if there is financial assistance available.

Houston, TX

13219 Dotson Rd, Suite 210,
Houston, TX 77070

Houston, TX

10726 Huffmeister Rd, Suite 200,
Houston, TX 77065

Tomball, TX

155 School St, Suite 260,
Tomball, TX 77375

Bellville, TX

235 W Palm St., Suite 107,
Bellville, TX 77418