Good Faith Estimate

At Eastside Spine & Injury, we believe in empowering our patients with clear information about the expected costs of their medical care. Understanding your financial responsibility is a crucial aspect of your healthcare journey.

Your Right to Information:
You have the right to receive a “Good Faith Estimate,” providing an overview of the anticipated costs associated with your medical items and services. This right applies specifically to patients without insurance or those not using insurance.

Comprehensive Coverage:
The Good Faith Estimate encompasses the total expected cost of non-emergency items or services. This includes various components such as medical tests, prescription drugs, equipment, and hospital fees.

Timely Delivery:
To ensure transparency, your healthcare provider is obligated to furnish the Good Faith Estimate in writing at least one business day before your scheduled medical service or item. Feel free to request this estimate from your healthcare provider and any other chosen provider before scheduling.

Dispute Protection:
If you receive a bill exceeding $400 more than your Good Faith Estimate, you have the right to dispute the bill. We value your financial well-being and are committed to providing accurate estimates for your peace of mind.

Documentation is Key:
It is advisable to keep a copy or a snapshot of your Good Faith Estimate for reference. This documentation ensures that you have a record of the estimated costs provided to you.

For More Information:
For any questions or additional details regarding your right to a Good Faith Estimate, we encourage you to visit www.cms.gov/nosurprises