Your Right to a
Good Faith Estimate

You have the right to know what care will cost

Under federal law, health care providers must give patients who do not have insurance, or who are not using insurance, an estimate of the expected charges for medical services.

Ashara is a concierge practice, so this applies to most of our patients.

What you are entitled to

• A Good Faith Estimate in writing, covering the expected cost of any non-emergency service, including related services such as laboratory testing
• An estimate whenever you ask for one, before you schedule
• An estimate automatically, at least one business day before a scheduled service, or three business days ahead if you schedule at least ten business days in advance
• To ask for one before you decide whether to proceed

If your bill is much higher than your estimate

If you receive a bill that is at least $400 more than your Good Faith Estimate, you may dispute it through the federal patient-provider dispute resolution process. You must start the dispute within 120 calendar days of the date on the bill.

Make sure to save a copy of your Good Faith Estimate.

How to get yours, and where to learn more

Ask any member of our team, call (949) 464-4770, or email hello@ashara.health.

For questions about your rights, visit www.cms.gov/nosurprises or call 1-800-985-3059.

This policy is reviewed periodically and may be updated. For questions about anything on this page, contact us at hello@ashara.health or (949) 464-4770.