GOOD FAITH ESTIMATE

Elizabeth Sanchez, LMFT (106067)

Calidad Holistic Wellness and Therapy , 7007 Washington Blvd. Suite 211, Whittier CA 90602, (909) 703-1921.

Expiration Date January 1, 2024

You have the right to receive a “Good Faith Estimate” which is a complete articulate

Under the law, Health Care providers are required to give patients who do not have insurance or who are not using insurance an estimate of total costs for medical items and services. Therefore:

  • 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 health care 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.

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

    www.cms.gov/nosurprises or call 877-267-2323