Good Faith Estimate

A Good Faith Estimate (GFE) initiative was created under the No Surprises Act, which is part of the Consolidated Appropriations Act of 2021. This federal law took effect on January 1, 2022. It is a document from a healthcare provider that estimates the cost of services for uninsured or self-pay clients under the "No Surprises Act" TheAmerica Mental Health Counselors Association (AMHCA), along with other organizations, supports its implementation as a way to ensure transparency for clients. The GFE should be provided when care is scheduled or requested and includes the estimated costs for all services, potential co-providers, and includes a notice about disputing a bill if it is higher than the estimate.

Key details about a Good Faith Estimate

• The estimate is for individuals who are uninsured or choose to self-pay for their healthcare services.

• Expected charges for the primary service and any other services provided should be listed.

• Providers must inform clients when they schedule a service, or if a client asks for an estimate.

• The estimate allows clients to see the anticipated costs in advance, which helps them understand their financial responsibility before receiving care.

• If the final bill is significantly higher than the GFE, clients have the right to dispute the bill with their provider or facility.