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YOUR CART

No Surprises Act

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost


  • Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
 
  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
 
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, 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.
For questions or more information about your right to a Good Faith Estimate,
​visit www.cms.gov/nosurprises or call 1 (800) 985 - 3059.
Notice of Privacy Practice
No Surprises Act

Contact Us

Main: (727) 513-6750
Fax: (727) 472-9205
Email: info@pureempathyllc.com
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Our Location

2454 N McMullen Booth Rd
Suite 608
Clearwater, FL 33759
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