Your Right to a Good Faith Estimate
Under federal law, healthcare providers are required to provide patients who do not have insurance, or who are not using insurance, with a Good Faith Estimate of expected medical costs for non-emergency healthcare services.
You have the right to receive a written Good Faith Estimate outlining the expected cost of medical items and services prior to receiving care.
Expected Costs
A Good Faith Estimate may include expected costs related to:
- Office visits
- Chiropractic care
- Acupuncture services
- Massage therapy services
- Other related healthcare services or fees when applicable
Patients may request a Good Faith Estimate before scheduling services.
Important Information
Healthcare providers are required to provide a Good Faith Estimate at least 1 business day before a scheduled service or item.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you may have the right to dispute the charges.
Be sure to keep a copy of your Good Faith Estimate for your records.
Questions or More Information
For additional information about your rights under the No Surprises Act and Good Faith Estimates, please visit: CMS No Surprises Act Information.
Contact Our Office
If you have questions regarding pricing, estimates, insurance, or patient billing, please contact our office directly.
Allergies, Aches & Pains Chiropractic & Acupuncture Center, Ltd.206 W Elm St
Sycamore, IL 60178
Phone: (815) 895-2059
Fax: (815) 895-2329