The No Surprises Act (NSA) requires that health care providers supply an estimate for the expected cost/charges to uninsured or self-pay individuals for services.

• You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.

• You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an appointment.

• 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.