Your Right to Receive a Good Faith Estimate of Expected Charges.
This is a statement informing our patients and prospective patients of their right to request a personalized estimate from our center, C-Med Ambulatory Surgery Center.
At C-Med Surgery Center, we are committed to transparency in billing and ensuring our patients are well-informed about the costs of their care. Under the No Surprises Act, you have important rights regarding the cost of medical items and services:
1. Good Faith Estimate for Non-Insured or Self-Paying Patients:
· You have the right to receive a written Good Faith Estimate for the total expected costs of any non-emergency items or services.
· This estimate includes related costs such as medical tests, prescription drugs, equipment, and facility fees.
· Your health care provider must provide the Good Faith Estimate in writing at least 1 business day before your scheduled medical service or item.
· You can also request a Good Faith Estimate at any time before scheduling a service.
3. Billing Discrepancies:
· If you receive a bill that is at least $400 more than the Good Faith Estimate, you have the right to dispute the bill
· Save a copy or take a picture of your Good Faith Estimate for your records.
4. Questions and Assistance:
· If you have questions about your rights under the No Surprises Act or need assistance with billing concerns, visit www.cms.gov/nosurprises or call 1-800-985-3059.
We are here to help ensure your experience is as seamless and stress-free as possible. Please don’t hesitate to contact us with any questions or for further clarification at 1-727-724-5653