Good Faith Estimate
Your Right to a Good Faith Estimate Under the No Surprises Act
Your Rights
Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a "Good Faith Estimate" of expected charges.
What Is a Good Faith Estimate?
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.
Delphi Wellness Pricing
Delphi Wellness is a cash-pay practice. We provide transparent pricing for all services:
Disputing a Bill
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. You may contact the health care provider to negotiate the bill, or you may start a dispute resolution process with the U.S. Department of Health and Human Services (HHS).
How to Request an Estimate
You can request a Good Faith Estimate before you schedule a service, or at any time during your care. Contact us at info@delphiwellness.clinic to request an estimate.
More Information
For more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.
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