Good Faith Estimate

If you do not have health insurance, or you choose not to use your health insurance to pay for services, you have the right to receive a written Good Faith Estimate explaining the expected cost of your care.

You may request a Good Faith Estimate before scheduling services. If you schedule services, you will receive an estimate as required by federal law.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you may have the right to dispute the bill through the federal patient-provider dispute resolution process.

To request a Good Faith Estimate or ask questions about expected costs, contact Brandy Haiman at 850-692-6530.

More information about your rights is available from the Centers for Medicare & Medicaid Services at cms.gov/nosurprises.