Good Faith Estimates
Under the “No Surprise Act,” WCHC will provide patients who don’t have insurance or who are not using insurance, an estimate of the bill for medical items and services, also referred to as a “Good Faith Estimate.” A Good Faith Estimate includes the total expected cost of any non-emergency items or services like medical tests, prescription drugs, equipment, and hospital fees.
Under the law, WCHC has 3 business days to provide a Good Faith Estimate if the appointment is 10 or more days in advance, 1 business day if the appointment is 3-9 days in advance, and no Good Faith Estimate is required if an appointment is less than 3 business days in advance. WCHC will make every attempt to provide a Good Faith Estimate at the time you make the appointment. We will provide a paper or electronic copy of the estimate for you to save in your records.
WCHC will always try our very best to make sure your estimate is accurate. In the event you receive a bill which is $400 over the estimate, you may contact WCHC and ask us to update the bill to reflect the estimate, negotiate the bill, or request financial assistance. You may also start a dispute resolution process with the U.S. Department of Health and Human Services within 120 calendar days of the original bill date. There is a $25 fee for the dispute process and you can find more information on this at www.cms.gov/nosurprises or call 202-690-6162. A dispute will not reduce the quality of the services you receive and we are happy to work with you to seek a resolution.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises
49 Rock Springs Road
P.O. Box 99
Conowingo, MD 21918
253 Lewis Lane
Havre de Grace, MD 21078
P: 410.378.9696 Toll-Free: 877.378.9696 F: 410.378.9922