Beginning January 1, 2022, you have the right to request a “Good Faith Estimate” (GFE) explaining how much your appointment may cost.
Under the law, those who don’t have insurance or need financial assistance paying their bill have the right to request a Good Faith Estimate for the total expected cost of any items or services associated to your visit at our centers.
Upon request, a Good Faith Estimate can be provided to you in writing at least 1 business day before your medical service or item. You can also ask your health care provider 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.
GFE is an estimate and subject to change.
Patient’s right to initiate dispute resolution process.
May be additional services.
GFE is not a contract.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or email ComplianceOfficer@dvch.org.
Our services are not free, however they are comprehensive, high quality medical services that are provided regardless of a person’s ability to pay for them at the time of service.
Once you arrive, you will be directed to our Patient Account Counselor who will walk you through our sliding fee program. We use a scale based on family size and income to determine patient’s share of the cost of care.
To be placed on the sliding fee program, please bring proof of your income (a pay stub, W2 or letter from your employer). Your fee level is assessed and based on your family size and yearly income.