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Financial--Good Faith Estimate Information

NO SURPRISE ACT NOTICE

YOUR RIGHT TO A “GOOD FAITH ESTIMATE”

 

You have the right to receive a ‘Good Faith Estimate’ explaining how much your medical care may cost.

Under the law, healthcare providers need to give patients who do not have insurance, or who are not using insurance, a cost 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, drugs, equipment, and hospital fees. 
  • Your health care provider must give you a ‘Good Faith Estimate in writing for scheduled services within designated timeframes. You can also ask your healthcare provider 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.

 

Contact Us

For questions or more information about your right to a Good Faith Estimate, visit:

www.cms.gov/nosurprises

or call us at:

217-784-2245

 

How to Contact Us

To contact Gibson Area Hospital directly call (217) 784-4251. For Security Concerns please call the Security Officer at (217) 784-2370. For general questions or comments about the GAHHS website, fill out the form on the contact page or email .

 Contact Us
 (217) 784-4251