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No Surprise Act Notice

Your Right to a “Good Faith Estimate”

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You have the right to receive a "Good Faith Estimate" explaining how much your medical care may cost Under the No Surprises Act, health care providers need to give uninsured patients and patients who are not using insurance (“self-pay” patients) an estimate of the bill for medical items and services.

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  • 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.

  • Your healthcare provider must give you a Good Faith Estimate in writing for scheduled services within designated time frames, at least 1 business day before your medical service or item. You can also ask your healthcare provider 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.

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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.

Reach out if you have any questions or would like a free 15-minute consultation.

Feel free to call, text, email, or submit your question through this form.

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Second Spring Acupuncture & Wellness Hours
Monday: 12pm-6pm
Tuesday: 11am-6pm
Wednesday: 9am-2pm
Thursday: 11am-6pm


415-340-5814 | coreen@secondspringacu.com

Second Spring Acupuncture & Wellness Address
414 Jackson Street, Suite 207
San Francisco, CA 94111

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