The Good Faith Estimate (GFE) provision of the No Surprises Act (Public Law 116-260) was designed to give healthcare consumers predictability in how much they will be charged for the healthcare services they will receive prior to their appointment.
Starting Jan. 1, 2022, all licensed or certified health providers, including chiropractors, must provide a GFE of charges to every new and continuing patient who is either uninsured or is not planning to submit a claim to their insurance for the healthcare services they seek.
CMS FAQ: Good Faith Estimates for Uninsured (or Self-Pay Individuals) (PDF)
More information: HHS: Further Guidance on GFE (PDF)
Thank you to the Illinois Chiropractic Society for developing the following and sharing with MCA members:
Sample GFE Form (.DOC)
MCA will update this page as more information is available.