Understanding costs in advance: Good Faith Estimates

Jan 14, 2022 | News, Uncategorized

Getting cost estimates before you get an item or service if you’re uninsured or self-pay

Beginning January 1, 2022, if you’re uninsured or you pay for health care bills yourself (don’t have your claims submitted to your health plan), health care providers and facilities must provide you with an estimate of expected charges before you get an item or service. This is called a “good faith estimate.” Providers and facilities must provide you with a good faith estimate if you request one, or after you’ve scheduled an item or service. It should include expected charges for the primary item or service you’re getting, and any other items or services that are provided as part of the same scheduled experience.

Providers and facilities must:

  • Provide the good faith estimate before an item or service is scheduled, within certain timeframes.
  • Offer an itemized list of each item or service, grouped by the provider or facility offering care. Each item or service has to have specific details, like the health care code assigned to it and the expected charge.
  • Explain the good faith estimate to you over the phone or in-person if you request it, and then follow up with a written (paper or electronic) estimate.
  • Provide the good faith estimate in a way that’s accessible to you.

Once you receive a good faith estimate from your provider or facility, be sure to keep it in a safe place so you can compare it to any bills you get later. If you’ve had your service and find that the billed amount is at least $400 above the good faith estimate, you may be eligible to start a patient-provider dispute resolution process. Learn more about the dispute resolution process, including eligibility requirements and what information or documents you need to start a dispute.

Article from: https://www.cms.gov/nosurprises/consumers/understanding-costs-in-advance

Mid-State Health Center has announced that its newest primary care office in Lincoln, New Hampshire is now open. The clinic, located at 6 South Mountain Drive will provide top-notch, convenient, and affordable primary care options to the local area.

“We are overjoyed to open our new primary care site in Lincoln and expand our services in the area. This new clinic affords us the opportunity to provide Mid-State’s high-quality primary care services in an area that has, in the past, had limited healthcare services,” said Robert MacLeod, Chief Executive Officer at Mid-State Health Center.

Mid-State Lincoln is accepting patients of all ages and will offer primary care services such as physical examinations, immunizations, and diagnoses and treatment of illness and injuries. The clinic also offers care coordination with other healthcare providers, prescribing medication, and management of chronic conditions, providing a healthcare home model for its patients.

The new clinic is open Monday through Friday, and business hours can be found online at midstatehealth.org. To make an appointment, please call 603-536-4000.

In addition, Mid-State will be hosting a community open house on Thursday, March 2nd from 4 PM to 6 PM where residents and businesses from the local community can tour the new office, meet members of the Mid-State team, learn how to become a new patient, and hear more about the services Mid-State Health Center offers.  A ribbon cutting will take place at 4:15 PM, however, community members are invited to stop by at any point during the event. Light refreshments will be served.

For questions about the open house, Samantha Hooper, Director of Marketing and Communication can be contacted via email at shooper@midstatehealth.org.