(949) 720-9848
Know Before You Go

Your Right to a Good Faith Estimate

If you do not have insurance or do not plan to use it, federal law generally gives you the right to an estimate of expected charges before scheduled care.

The Short Version

You may ask for a written estimate before scheduling care or after an appointment is scheduled. Keep the estimate. If an eligible bill from a provider or facility is at least $400 higher than that provider's or facility's estimate, you may be able to use the federal patient-provider dispute process.

Does This Apply to Me?

The federal Good Faith Estimate right is designed primarily for uninsured and self-pay patients.

Generally yes

I do not have insurance

You can ask for a Good Faith Estimate for scheduled items or services.

Generally yes

I have insurance but will not use it

If you do not seek reimbursement from your plan, you are generally treated as self-pay for this purpose.

Different rules

I plan to use insurance

Contact your health plan for benefit and cost-sharing information. An insurer's estimate is separate from this federal self-pay process.

When Should I Receive It?

Federal timing depends on when care is scheduled or when you request an estimate without scheduling.

1 business day

Care scheduled 3-9 business days ahead

The estimate is generally due within 1 business day after scheduling.

3 business days

Care scheduled 10+ business days ahead

The estimate is generally due within 3 business days after scheduling.

3 business days

You ask before scheduling

The estimate is generally due within 3 business days after the request.

Federal rules generally do not require a Good Faith Estimate for emergency care, walk-in care, or services scheduled fewer than 3 business days in advance.

What the Estimate Should Include

  • Your name and date of birth
  • A description of the primary scheduled service
  • Expected charges for the listed items or services
  • Provider or facility identifying information
  • Required notices explaining your rights

What May Need Another Estimate

Current federal estimates generally cover the provider or facility issuing them. Care involving other organizations may require separate estimates.

  • External laboratory or pathology work
  • Imaging performed by another organization
  • Hospital, surgery center, or facility charges
  • Anesthesia or another specialist

Request Your Estimate

Tell us the planned service, the appointment date if scheduled, and that you are uninsured or do not plan to use insurance. We may need additional details before an estimate can be prepared.

Is a Bill Much Higher Than the Estimate?

$400 or more

If a bill from a provider or facility is at least $400 above the amount that provider or facility listed in the Good Faith Estimate, the bill may qualify for the federal patient-provider dispute process. A dispute generally must be started within 120 calendar days of the date on the initial bill.

1. Save everything.
Keep the estimate, initial bill, and related messages.
2. Compare carefully.
Confirm which provider or facility issued each document.
3. Act promptly.
Review federal eligibility and timing before the deadline.

After You Receive the Estimate

  • Review your name, planned service, and provider information.
  • Ask whether outside organizations may send separate estimates or bills.
  • Keep the estimate with your appointment and billing records.
  • Tell the office if the planned service changes, because the estimate may need to be updated.

Questions Before Your Visit?

Our team can explain how to request an estimate from Broad Medical Group.

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Broad Medical Group — Costa Mesa, California

This page provides general information about federal patient rights and is not legal, insurance, or financial advice. Eligibility and procedures depend on the facts of each situation. Official federal guidance controls and may change. An estimate is not a contract or guarantee of the final charge.