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Good Faith Estimate Disclosure

The Good Faith Estimate Disclosure protects the right for uninsured/self-pay patients to receive a good faith estimate outlining how much your medical care will cost. 

Under the law, health care providers need to give patients who don't have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the healthcare provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask. 
  • If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate and the bill.

For questions or more information about your right to a Good Faith Estimate, visit the Centers For Medicare & Medicaid website, or email  This email address is being protected from spambots. You need JavaScript enabled to view it. , or call 1-800-985-3059.

 

 

Patient Compliments

Love coming to the Medford Office.  Quality and efficient service.  No long wait time.


I have used Larchmont over the years.  Everyone is kind and helpful, making many appointments for my mother to accommodate my schedule.  Thank you-everyone is great!

 

I go back and forth between NJ and FL.  I always wait until I'm in NJ for imaging so I can come to Larchmont.


Larchmont client for many years (Sunset Rd., Willingboro)-always very satisfied with staff.

 

This team is so amazing!  Everyone was so kind and I was in and out in no time!

 

Entire staff was very knowledgeable and professional.  Every aspect of my test experience was pleasant.

 

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