Good Faith Estimate

Your right to a Good Faith Estimate

Under the law, healthcare providers must give patients who don't have insurance, or who are not using insurance, an estimate of the expected charges for medical services.

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services.
• You can ask your provider for a Good Faith Estimate before you schedule a service.
• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
• Keep a copy of your Good Faith Estimate in a safe place.

How to request one

To request a Good Faith Estimate, contact the office at 305-278-0200 or support@delphihealthandwellness.com before scheduling.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.