Phone Number

+1 (408) 583-5099

4320 Stevens Creek Blvd

Suite 121, San Jose CA 95129

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total

    expected cost of any non-emergency items or services. This includes

    related costs like medical tests, prescription drugs, equipment, and

    hospital fees.

  • 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.

  • 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 or call 800-985-3059.