Good Faith Estimate
You have the right to receive a Good Faith Estimate explaining how much your medical care will cost.
Under the law, CCK is required to give our patients who don’t have certain types of health care insurance coverage or who are not using certain types of health care insurance coverage an estimate of their bill for health care items and services before those items or services are provided. If you do not have health insurance coverage for any reason, including CCK is out of network for your plan, you have the following rights:
- You have the right to receive a Good Faith Estimate for the total expected cost
of any health care items or services upon request or when scheduling such
items or services. This includes related costs like medical tests, prescription
drugs, equipment, and hospital fees.
- If you schedule a health care item or service at least 3 business days in advance,
CCK will provide you a Good Faith Estimate in writing within 1 business day after
scheduling. If you schedule a health care item or service at least 10 business
days in advance, make sure your health care provider or facility gives you a
Good Faith Estimate in writing within 3 business days after scheduling. You can
also ask any health care provider or facility for a Good Faith Estimate before you
schedule an item or service. If you do, make sure the health care provider or
facility gives you a Good Faith Estimate in writing within 3 business days after you
- If you receive a bill that is at least $400 more for any provider or facility than
your Good Faith Estimate from that provider or facility, you can dispute the bill.
For questions or more information about your right to a Good Faith Estimate:
- go to www.cms.gov/nosurprises/consumers
- email FederalPPDRQuestions@cms.hhs.gov, or
- call 1-800-985-3059
If you have questions about billing at CCK, contact us at 316-268-1234.