Do I have to pay a Good Faith Estimate?

Asked by: Arlie Moore  |  Last update: October 14, 2025
Score: 4.8/5 (51 votes)

Usually, if you aren't using health insurance to pay for your care, your health care provider must give you a good faith estimate of expected charges if you request one or schedule services at least 3 business days in advance.

What if I didn't get a good faith estimate?

Get a good faith estimate in writing from your provider

You don't need to use the specific term "Good Faith" to request an estimate. You'll need a good faith estimate in writing if you need to dispute your bill. You can't use the No Surprises Act dispute process without an estimate.

Do you have to pay for surgery in advance?

In other situations, including a pre-scheduled surgery, the hospital or other providers can ask for at least some payment upfront. But in most cases, a health plan's network contract with the hospital or other medical provider will allow them to request upfront payment of deductibles, but not to require it.

Are lenders required to give a good faith estimate?

Unless an exception applies, the lender must provide you with a GFE within three business days of receiving your application or other required information. You can be charged a credit report fee before receiving a GFE.

Can I choose not to use my health insurance?

This means that it is not illegal to not use your health insurance for medical services. Medicare patients may have different requirements. Patients can elect to pay for medical services if they find it in their best interest to pay for them directly.

Good Faith Estimates

45 related questions found

Can you pay cash instead of using medical insurance?

For certain medical services, going the cash-pay route can be a smart financial move—especially if you're navigating a high-deductible health plan (HDHP) or your insurance doesn't cover a specific treatment. Many providers offer discounted cash-pay rates for things like labs, imaging, or outpatient procedures.

What does good faith estimate mean?

Good faith estimates only list expected charges for a single provider or facility. You may get an estimate from both your provider and facility, or from multiple providers. The estimate must: Include an itemized list with specific details and expected charges for items and services related to your care.

How much should a good faith payment be?

If you are working with a real estate professional, they should be able to provide guidance on how much your earnest money should be to be competitive in your local market. In many markets, buyers can expect to put down 1% to 3% of the purchase price as earnest money.

What is the GFE charge?

When you apply for a mortgage, your lender will provide a Good Faith Estimate, often referred to simply as a GFE. A GFE is a government-standardized form that gives estimates of the charges and fees that will be associated with closing your transaction.

Does a Good Faith Estimate mean you are approved?

Receiving a Loan Estimate from a lender doesn't mean you're approved for or locked into a loan. A Loan Estimate simply gives you a snapshot of a loan's estimated terms and costs before you commit to the mortgage. The Loan Estimate has been around since 2015.

What happens if you get surgery but can't afford it?

Government or Charitable Assistance

Financial assistance programs, sometimes called "charity care," provide free or discounted health care to people who need help paying their medical bills. The Affordable Care Act requires hospitals with 501(c)(3) nonprofit status to have programs to provide this care.

Can a doctor make you pay upfront?

Doctors want to be sure that they will be compensated for the care they provide. Fourth lesson: It is not illegal to be asked to pay what you may owe in advance for a major medical event. But if you are asked to pay upfront, legally you don't have to.

Do good faith estimates need to be signed?

Client signatures aren't required on either the consent document or the Good Faith Estimate. However, if the client chooses not to sign, the provider can opt out of providing care and the client can proceed to find an in-network provider instead.

Can a hospital refuse treatment if you owe money?

Because of EMTALA, you can't be denied a medical screening exam or treatment for an emergency medical condition based on: If you have health insurance or not. If you can pay for treatment.

Do you have to negotiate in good faith?

Good faith negotiation obligations in commercial contracts are, in principle, enforceable and especially so where there is an agreed period for which you have to negotiate in “good faith”.

How do I dispute a Good Faith Estimate?

If, after receiving the items or services, the uninsured (or self-pay) individual is billed for an amount at least $400 above the good faith estimate, the individual may be eligible to dispute the bill through the patient-provider dispute resolution (PPDR) process by submitting a request to HHS and paying a small ...

How much does the GFE cost?

More broadly categorized, GFE is escort work. But what else goes on that justifies the steep costs—prices vary, but $500/hour is a good baseline—associated with the service?

What does GFE usually include?

Elements that make up a GFE such as conversation, affection and mutual sexual pleasure can occur in street prostitution but they are more commonly found in indoor prostitution. This includes the use of massage parlors, saunas, brothels, strip clubs and escort agencies.

What is basic service charge?

Basic service charges on your utility bill are like those fixed costs of owning a car. Are basic service charges unique to the electric industry? No. In fact, many industries use fixed fees. If you have an unlimited cellular phone plan, you probably pay a fixed fee for each line.

Do you get good faith money back?

The buyer gets their good faith deposit back if the seller terminates the home sale without a valid reason. You may also reclaim your money if the reason for contract cancellation is a contingency outlined in your purchase contract.

What is the good faith rule?

Government Code (GC) section 19257 states that to be valid, a civil service appointment must be made and accepted in “good faith” under the civil service statutes and State Personnel Board (SPB) regulations. “Good faith” is defined as, having honest intentions or in compliance with standards of decency and honesty.

Is a good faith estimate a contract?

The Good Faith Estimate is not a contract and does not require the uninsured (or self-pay) individual to obtain the items or services from any of the providers or facilities identified in the Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

What are GFE closing costs?

A GFE includes estimates of all the fees or “closing costs” of a mortgage. The borrower is not required to pay any of these costs or go through with the loan by getting a GFE. A GFE sets the estimate in a standard format so that a borrower can accurately compare the costs of different mortgages.

What is the good faith fee?

A GFE is a government-standardized form and can help you compare quotes from a number of different lenders. The quote outlines loan charges, third-party fees and other settlement costs. It also includes a section for you to include figures from other GFEs for your own comparison.

Is a Good Faith Estimate a pre approval?

The result of the pre-approval process is the good faith estimate.