Patient information · No Surprises Act
Your right to a Good Faith Estimate
If you do not have health insurance, or are not using insurance to pay for your care, you have the right to a written estimate of expected health care charges under the No Surprises Act.
When you can receive an estimate
- You can request an estimate before deciding whether to schedule care. The written estimate is due within three business days of your request.
- When you schedule care three to nine business days ahead, the estimate is due within one business day after scheduling.
- When you schedule at least ten business days ahead, the estimate is due within three business days after scheduling.
The estimate explains expected charges for your care. Keep a copy so you can compare it with your bill.
If your bill is higher
If a provider's bill is at least $400 above that provider's estimate, you may be eligible for the federal patient-provider dispute resolution process.
Questions or an estimate request
Ask your East Sound Therapy clinician, or contact the practice to request an estimate.
Read the CMS explanation of Good Faith Estimates or call 1-800-985-3059 for information about your rights.