No Surprises Act & Patient Billing Rights
Good Faith Estimates for Self-Pay Patients
Patients who do not have health insurance or who choose not to use insurance have the right to receive a Good Faith Estimate explaining the expected cost of medical items and services.
A Good Faith Estimate describes charges for services reasonably expected at the time an appointment is scheduled and may include related items or services such as tests, devices, or supplies. You may request a Good Faith Estimate before scheduling services or at any time prior to your appointment.
If you receive a bill that is $400 or more above your Good Faith Estimate, you may have the right to dispute the charges through a federal patient–provider dispute resolution process. Please keep a copy of your estimate for your records.
For more information, visit www.cms.gov/nosurprises or call 1-800-985-3059.
Your Rights and Protections Against Surprise Medical Bills
Federal law protects patients from certain unexpected medical bills, often called “surprise” or “balance” billing. These protections generally apply when you receive emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center.
When these protections apply, you are responsible only for your normal in-network cost-sharing (such as copayments, coinsurance, or deductibles). Providers may not bill you for additional charges, and you are never required to waive these protections.
Health plans must cover emergency services without prior authorization, base patient cost-sharing on in-network rates and count eligible payments toward deductibles and out-of-pocket limits.
For additional information, visit www.cms.gov/nosurprises. Idaho residents may also contact the Idaho Department of Insurance at doi.idaho.gov/nosurprises, 208-334-4319, or 1-800-721-3272.
This notice is provided in accordance with the federal No Surprises Act.