Your right to a Good Faith Estimate

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.

How to ask V-Care for an estimate

Ask when you schedule, or at any time before your visit. Tell us the service you’re planning, and that you don’t have insurance or aren’t using it. Self-pay patients are welcome.

• Phone: (281) 984-4550
• Email: contact@v-carehealth.com
• Mail: V-Care Family Practice & Urgent Care, 18311 Clay Rd, Ste A7, Houston, TX 77084
• In person: at our front desk

When you’ll get your estimate

We’ll give you your Good Faith Estimate in writing:

• Within 1 business day of scheduling, if you schedule at least 3 business days ahead
• Within 3 business days of scheduling, if you schedule at least 10 business days ahead
• Within 3 business days of asking, if you ask for an estimate without scheduling

We can give it to you on paper or electronically, whichever you prefer. An estimate doesn’t commit you to getting the service, or to getting it from us.

If your bill is higher than your estimate

If your bill is at least $400 more than your Good Faith Estimate, you can dispute it through the federal patient-provider dispute resolution process. There’s a time limit to start a dispute, so act soon after you get the bill. You’ll find how to start one at www.cms.gov/nosurprises.

If you have a question about your bill, please call us first.