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Good Faith Estimate and No Surprises

 

Good Faith Estimate and No Surprises

Good Faith Estimate rights for uninsured and self-pay patients and the federal dispute process.

 

You have the right to receive a Good Faith Estimate explaining how much your health care may cost.

Who may request an estimate

If you do not have insurance or do not plan to use insurance for scheduled care, you may request a written Good Faith Estimate of expected charges.

When an estimate is provided

When care is scheduled in advance, Kinder provides the estimate within the time required by federal law. You may also request an estimate before scheduling.

If the bill is substantially higher

If a provider’s bill is at least $400 more than that provider’s Good Faith Estimate, you may start the federal patient-provider dispute resolution process within 120 days of the initial bill.

Keep your estimate

Save a copy or photograph of the estimate. The estimate is not a contract and may change if the scope of care changes.

More information

Visit cms.gov/nosurprises or call 1-800-985-3059. To request an estimate from Kinder, call 732-917-4454.

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