You have the right to receive a Good Faith Estimate
explaining how much your medical care will cost.
Under law, health care providers must, upon request, provide patient’s WHO DO NOT HAVE INSURANCE OR ARE NOT USING INSURANCE an estimate of the bill for medical items and services.
For eligibility of a Good Faith Estimate, ensure your appointment is scheduled at least three (3) business days in advance.
In the event you receive a bill that is at least $400 more than your Good Faith Estimate, you have the option to dispute the bill.
Your Good Faith Estimate will include the total expected cost of any non-emergency items or services. This includes related costs like lab tests associated with your visit.
For your records, make sure to save a copy or picture of your Good Faith Estimate.
Upon contacting Dayspring Health for a Good Faith Estimate, please allow us time to assemble your information. We will provide your estimate in writing and orally at least one (1) business day or three (3) business days of your medical/dental visit and/or item for appointments scheduled at least three (3) business days or ten (10) business days in advance, respectively.
For questions about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.
Contact Us to Obtain Your Good Faith Estimate
Medical Visits
Phone: (423)-455-4012
Email: MedicalGFE@DayspringHealth.org