Legal

No Surprises Act & Good Faith Estimate

Updated August 24, 2026

Off Coast Wellness, LLC (“Off Coast Wellness”) is committed to helping you understand your upcoming health care costs so you can plan for your care.

No Surprises Act

The federal No Surprises Act became effective Jan. 1, 2022. The law aims to help patients understand health care costs in advance of care and to minimize unforeseen, or surprise, medical bills.

Patients are protected from receiving surprise medical bills resulting from out-of-network care for emergency services and for certain scheduled services without prior patient consent.

Patients who do not have insurance or who are not using insurance to pay for care have a right to receive a good faith estimate of their potential bill for medical services when scheduled at least three days in advance.

Individuals with Medicare, Medicare Advantage, Medicaid, Indian Health Services, VA health care, or TRICARE insurance plans are not covered under the No Surprises Act because these federal insurance programs have existing protections in place to minimize large, unforeseen bills.

For more information about your rights and protections visit the No Surprises Act site from the Centers for Medicare and Medicaid Service.

Good Faith Estimate

Uninsured and self-pay patients have a right to receive a good faith estimate (GFE) ahead of scheduled nonemergency health care services. The good faith estimate is a notification that outlines an uninsured or self-paying individual’s expected charges for a scheduled or requested item or service.

A good faith estimate isn’t a bill.

The good faith estimate shows the list of expected charges for items or services from your provider or facility. Because the good faith estimate is based on information known at the time your provider or facility creates the good faith estimate, it won’t include any unknown or unexpected costs that may be added during your treatment.

The good faith estimate might not include every item or service you get from another provider or facility, even if some items or services may seem connected to the same service.

The amount provided in the good faith estimate is only an estimate; it isn’t an offer or contract for services.

This good faith estimate shows the full estimated costs of the items or services listed. It doesn’t include any information about what your health plan may cover.

This means that the final cost of services may be different than this estimate.

For more information about your rights and protections visit the Centers for Medicare and Medicaid Service website.

If you have questions related to receiving a good faith estimate, call (302) 947-8388 or email info@offcoastwellness.com.