Good Faith Estimate

What is a Good Faith Estimate?

A Good Faith Estimate (GFE) is an estimate of your expected bill for medical items/services. It is your right to receive a GFE for the total expected cost of any non-emergency items or services, including office visits, labs and medical tests or procedures.

How Much Will My Care Cost?

It is difficult to know exactly what type of care you will receive during your visit. The chart below shows the average cost associated with different kinds of care a patient may receive from a Southwest Georgia Healthcare Clinics provider, based on their eligibility for our Fee Discounts Program. For more information on our Fee Discounts Program, visit https://swgahealthcareclinics.org/patient-info/sliding-fee-scale-program/

Disclaimer

This Good Faith Estimate (GFE) shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created. The GFE does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute your bill.

You may contact the Billing Department if your billed charges are higher than your GFE. You can ask us to revise the bill to match your GFE, ask to negotiate the bill, or ask if there is financial assistance available.

More Inforamation

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

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