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Good Faith Estimate

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

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Under the law, health care providers need to give patients who don’t have insurance an estimate of the bill for medical items and services.

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You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services upon scheduling and upon request. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

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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.

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If you receive a bill that is at least $400 more than your Good Faith Estimate, you have a right to dispute the bill. You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS).

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Make sure to save a copy or picture of your Good Faith Estimate.

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To receive your Good Faith Estimate please contact us at 812-232-7447 or email info@wvhc.org

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For questions or more information about your right to a Good Faith Estimate or the dispute process visit www.cms.gov/nosurprises or call 1-877-696-6775.

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