Good Faith Estimate Notice
You have the right to receive a Good Faith Estimate explaining how much your medical care will cost. Under federal law, healthcare providers must give patients who do not have insurance or who are not using insurance a written estimate of the expected charges for medical services.
Your rights
Receive a written Good Faith Estimate that includes the expected medical services and medications, the expected cost of each, and any applicable cash-pay discount. Receive the estimate at least 1 business day before your appointment (if scheduled 3–9 days in advance) or at least 3 business days before (if scheduled 10+ days in advance). Request a Good Faith Estimate at any time before scheduling a service. Dispute a bill if final charges exceed your Good Faith Estimate by $400 or more, using the federal Patient-Provider Dispute Resolution process.
What to do if your bill is higher
Keep a copy of your estimate. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill at www.cms.gov/nosurprises or by calling 1-800-985-3059 within 120 days of the bill date.
To request a Good Faith Estimate
Email: hola@zanason.com (operational inbox pending counsel confirmation). Call: [customer service phone — pending]. Visit: your Zanason patient portal.
Additional state-law protections
This notice describes your rights under the federal No Surprises Act. Some states have additional protections; if you reside in California, New York, Texas, or another state with additional price-transparency rules, you may have additional rights under state law.
More information
www.cms.gov/nosurprises (Centers for Medicare & Medicaid Services).