Your Right to a Good Faith Estimate

You have the right to receive a "Good Faith Estimate" explaining how much your health care will cost.

Under the law, health care providers need to give patients who don't have insurance or who are not using insurance an estimate of the bill for medical items and services.

Ekilibra does not bill insurance. Every Ekilibra patient is a self-pay patient, so every patient receives a Good Faith Estimate before starting care.

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, and equipment.
Make sure your health care provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate.

Your Ekilibra Good Faith Estimate covers the services Ekilibra provides and bills directly. Laboratory tests, imaging, and medications are billed by those providers, and you can request a Good Faith Estimate from each of them as well.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call (385) 442-6729.

To request a Good Faith Estimate, email info@ekilibrahealth.com or call (385) 442-6729.