Good Faith Estimate
Claudia Garcia, LICSW
Effective Date of This Notice: 1/1/2021
You are entitled to a Good Faith Estimate detailing the anticipated costs of non-emergency medical procedures or services. This encompasses associated expenses such as diagnostic tests, prescriptions, equipment, and hospital charges. It's crucial to ensure that your healthcare provider presents this estimate in writing at least one business day before your scheduled procedure or service. Remember, you have the prerogative to request a Good Faith Estimate from any provider before confirming a service or item. You have the right to contest if you're billed an amount that exceeds your estimate by $400 or more. Always retain a copy or photograph of your Good Faith Estimate for reference. Please refer to this link for further details or inquiries regarding your entitlement to a Good Faith Estimate.
If you have any questions about this notice, please contact Claudia Garcia by phone, email, or using the form on this website.