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A new federal rule to protect consumers from surprise health care bills,  commonly referred to as the No Surprises Act, went into effect on January 1, 2022.  This rule applies to consumers who are uninsured or self-pay. Under this rule, providers must offer a Good Faith Estimate of expected charges that may be billed for services.   

  • Under the law, health care providers are expected to provide clients who are not using health insurance or who do not have insurance, an estimate of what they will be charged for all services.

  • Information about the cost of the service will be provided orally and in writing when a client schedules.  This is expected to happen at least one day before the dates of service.  You may also ask for this information at any time.   

  • Uninsured or self- pay clients may dispute their bill if the cost of service substantially exceeds the GFE.  "Substantially exceeds" means an amount that is at least $400 more than the expected charges provided in the GFE.

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

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