GOOD FAITH ESTIMATE

You may have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the No Surprises Act, Warm Heart Pediatrics must give individuals an estimate of the bill for medical services and items.

You have a right to receive a Good Faith Estimate for the total expected cost of any scheduled non-emergency items or services. This includes related costs like medical tests (skin testing, spirometry).

Warm Heart Pediatrics will provide a Good Faith Estimate if requested, before any service is provided.

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 more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.