Good Faith
Estimates
Know your expected costs before your appointment — Mansfield Vision Center LLC
Your Right to a Good Faith Estimate
Under the law, patients without medical insurance — or those choosing not to use insurance for specific care — have the right to receive a Good Faith Estimate explaining the expected costs of their medical care before receiving services.
What It Covers
You are entitled to receive a written Good Faith Estimate for the total expected cost of non-emergency items or services. This includes related expenses such as office visits, medical tests, and medical equipment.
Timing Requirements
Appointment within 10 days
A Good Faith Estimate must be provided in writing at least one (1) business day from the time the appointment is scheduled.
Appointment 10+ days in advance
The estimate must be provided within three (3) days of scheduling.
Emergency or same-visit testing
Estimates are provided at the time services are offered.
Advance Estimates
You may request an estimate before scheduling your appointment. Please note these remain preliminary, as exact care needs cannot be determined until a clinical evaluation is performed.
Dispute Process
Additional Resources
For more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.