A Good Faith Estimate describes expected charges for scheduled health care items and services when the applicable federal rules require one. It is not an insurance coverage decision and cannot guarantee that the final amount will be identical.
Who should ask
Contact the office if you do not have insurance, do not plan to use insurance for a service, or want to discuss private pay. Ask whether Good Faith Estimate requirements apply to your situation and what information A&A needs to prepare an estimate.
What an estimate may include
- The expected scheduled services or care items included in the request.
- Expected charges known when the estimate is prepared.
- Assumptions, exclusions, or conditions that could affect the total.
- Instructions for asking questions or requesting an updated estimate if the plan changes.
What may change the final amount
Actual care needs, frequency, schedule, supplies, a change in the requested service, or information not known when the estimate was prepared may affect the total. Ask the office before services begin if the scope changes.
If a bill is higher than expected
Contact A&A first to review the estimate and bill. Under current federal guidance, a patient-provider dispute process may be available in certain circumstances when a final bill is at least $400 more than the Good Faith Estimate. Eligibility, deadlines, fees, and procedures can change, so check the current official guidance.
Questions
Call 216-230-9380 or use the contact page. Keep website messages general and do not include detailed health or financial information.
