Your Right to Receive a Good Faith Estimate of Expected Charges

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
• Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.

If you are paying for your evaluation or therapy yourself, or are not using insurance, Wildflower will give you a written Good Faith Estimate before your first appointment. You can also ask for one before you schedule.

For therapy, the estimate describes the expected services and charges for a period of time. You can ask for an updated estimate if your plans or the services you need change.

To ask for a Good Faith Estimate or ask a question about one, contact Wildflower at (816) 685-0624 or [email protected]. See also Fees & Getting Started.