You have the right to receive a Good Faith Estimate of expected costs for healthcare services.
Under federal law, healthcare providers are required to give patients who do not have insurance or who choose not to use insurance an estimate of expected charges for medical services.
Tri-County Wellness is committed to clear, upfront communication so you can make informed decisions about your care.
What is a Good Faith Estimate
A Good Faith Estimate is a written explanation of the expected costs for services you may receive. It is based on the information available at the time and reflects services that are reasonably expected.
This estimate is not a bill and does not guarantee final costs. Actual charges may vary depending on your care needs.
Who can request a Good Faith Estimate
You are entitled to a Good Faith Estimate if you are:
• Uninsured
• Self pay
• Choosing not to submit services to insurance
You may request a Good Faith Estimate before scheduling services or at any time during care.
What the estimate includes
Your Good Faith Estimate may include:
• Expected charges for visits or services
• Testing or evaluations that are reasonably anticipated
• Related care that is part of your treatment plan
If your care plan changes, we will discuss updated expectations with you.
Your rights if costs are higher than expected
If you receive a bill that is substantially higher than your Good Faith Estimate, you may have the right to dispute the charges.
You can learn more about your rights and the dispute process by visiting www.cms.gov or calling the appropriate federal hotline.
Our commitment to transparency
We believe financial clarity is part of ethical care. If you have questions about pricing, estimates, or payment options, we encourage open conversation. Our team is happy to explain costs in advance and help you understand your options.
How to request a Good Faith Estimate
To request a Good Faith Estimate, please contact our office directly by phone or in person. We will provide the estimate in writing and answer any questions you may have.
