ADDRESS

8431 Hickman Road Urbandale, IA 50322

CALL US

(515) 423-0708

Good Faith Estimate

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 healthcare 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..

BECKY S.

“I can now turn my head to the left further than I have been able to for a very long time. It helps a lot when changing lanes while driving. With continued treatments, my spine will strengthen and be corrected even more.”

Advanced Spine Health Center

8431 Hickman Road
Urbandale, IA 50322
(515) 423-0708

Trusted Chiropractor

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