Good Faith Estimate notice

You have the right to receive a “Good Faith Estimate” explaining how much your care will cost

Under the law, health care providers need to give patients who don't have insurance or who are not using insurance an estimate of the bill for items and services.

• 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 tests, prescription drugs, equipment and lab fees.
• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your 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.

Ask us for your estimate

To request a Good Faith Estimate from Corona Healthy Smile, call (718) 478-4100 or ask at the front desk.