Under the No Surprises Act
You have the right to receive an estimate, in writing, explaining how much your medical care will cost.
Under the law, health care providers need to give patients who do not have insurance, or who are not using insurance, an estimate of the bill for medical items and services.
Framework Health is a direct primary care practice and does not bill insurance, so this applies to essentially everyone we care for.
Call the office at (949) 558-0501, text (949) 558-0503, or email office@frameworkmed.com and ask for a Good Faith Estimate. You do not need to be a patient to ask, and there is no charge for the estimate.
You can also ask during your free consultation call, which is the point at which most people want to understand what care will cost. Book a consultation.
An estimate is an estimate. A Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs. It is not a bill, and it is not a contract. What you actually need can change once a provider has seen you, examined you, and reviewed your history.
If you are billed at least $400 more than your Good Faith Estimate, you can start a patient-provider dispute resolution process through the federal government. You have 120 days from the date of the bill to begin it. A neutral third party reviews the estimate and the bill and decides what you owe.
Starting a dispute will not affect the quality of the care you receive from us, and we will not retaliate against anyone for using it.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call the federal help line at 1-800-985-3059.
For questions about your care with us, or to ask for an estimate, call (949) 558-0501.
This notice is provided under the No Surprises Act, 45 CFR 149.610. The dispute resolution process referenced above is described at 45 CFR 149.620.
Ask on the consultation call. Fifteen unhurried minutes, no charge, and you can request a written estimate at any point.