Your Right to a Good Faith Estimate
You have the right to receive a Good Faith Estimate that explains how much your medical care is expected to cost. This estimate helps you plan for your care and understand charges before you receive services.
What the Law Requires
Under federal law (the No Surprises Act), all healthcare providers must give patients without insurance—or those choosing not to use insurance—a written estimate of the expected charges for medical items and services.
This estimate includes:
- The total expected cost of scheduled, non-emergency services
- Related costs such as medical tests, prescription drugs, equipment, and facility fees
When You’ll Receive a Good Faith Estimate
You have the right to receive your estimate:
- At least one business day before your scheduled non-emergency service or procedure
- Upon request, even if you haven’t scheduled yet
Your estimate must be provided in writing—not just verbally. Be sure to save a copy for your records.
If Your Bill Is Higher Than Expected
If you receive a bill that is $400 or more above your Good Faith Estimate, you have the right to dispute the charge.
You can start a dispute process with the U.S. Department of Health and Human Services (HHS).
For details on how to dispute a bill, visit www.cms.gov/nosurprises or call 1-800-985-3059.
Questions or Support
If you have questions about your estimate or your rights, please contact:
Community Health Net
(814) 455-7222
or visit www.cms.gov/nosurprises for more information.



