Good Faith Estimate

Your right to a Good Faith Estimate.

Haven is a self-pay practice, so you’ll get a written estimate of expected charges before your care is scheduled. You can also ask for one on your free call, or any time.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.

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Whenever you’re ready, the first step is small.

Most people wait years before getting help for pelvic symptoms. Your first step is a free, no-pressure conversation — you talk, I listen, and together we decide whether Haven is a good fit.

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