This page provides general consumer information. It is not your individualized Good Faith Estimate and does not replace the estimate you may receive before scheduled care.
Your right to an estimate
Under federal law, health-care providers generally must give people who do not have insurance—or who choose not to use it—an estimate of the expected cost of scheduled items and services. The estimate should include reasonably expected charges associated with the scheduled care.
Timing
- If care is scheduled 3–9 business days in advance, the estimate generally must be provided at least 1 business day before the service.
- If care is scheduled 10 or more business days in advance, the estimate generally must be provided at least 3 business days before the service.
- If you request an estimate before scheduling, it generally must be provided within 3 business days.
- Federal rules do not require an estimate when care is scheduled 0–2 business days in advance.
Keep your estimate
Save a copy of your Good Faith Estimate and compare it with your bill. An estimate is based on information known at the time and may not include unexpected services that become reasonably necessary.
If a bill is substantially higher
A federal patient-provider dispute process may be available if the bill from a provider or facility is at least $400 more than that provider's Good Faith Estimate. The process generally must be started within 120 calendar days of the initial bill and currently includes a $25 administrative fee.
Official resources
- Centers for Medicare & Medicaid Services: Good Faith Estimate guide
- Centers for Medicare & Medicaid Services: Dispute a medical bill
- Centers for Medicare & Medicaid Services: Rights when not using insurance
Requesting your estimate
Y-Therapy will provide individualized estimate information through the secure scheduling process once that connection is live. Do not send clinical details by general email.