No Surprises Act
Good Faith Estimates on Self-Pay Services
Beginning January 1, 2022, the Public Health Service Act (Section 2799B-6) requires all healthcare providers and facilities to inform clients of their right to receive a Good Faith Estimate for services.
If you are uninsured or not using insurance, you are entitled to an estimate of expected charges for any non-emergency services before your appointment. This includes related costs such as lab work, medical tests, prescriptions, or equipment.
What You Can Expect:
You have the right to a written Good Faith Estimate at least one business day before your scheduled service. You may request an estimate from any provider at any time, even before scheduling.
If your final bill is $400 or more than the Good Faith Estimate, you have the right to dispute the charges. Please save a copy or photo of your Good Faith Estimate for your records.
For more information about your rights, visit www.cms.gov/nosurprises.

Accepted Insurance
Delaware
Aetna
Aetna - Medicare
Carelon Behavioral Health
Cigna
Humana - Medicare
Optum
Quest Behavioral Health
Tricare
UHC/Optum - Medicare
Wellcare
Indiana
Aetna
Aetna - Medicare
Ambetter
Carelon Behavioral Health
Cigna
Humana
Managed Health Services
Optum
Quest Behavioral Health
Tri-Care
United Health/Optum - Medicare
Maine
Aetna
Anthem Blue Cross Blue Shield
Carelon Behavioral Health
Cigna
Optum
Point32 Healthcare
Quest Behavioral Health
Tri-Care
United Health/Optum - Medicare
Maryland
Aetna
Aetna - Medicare
Carelon Behavioral Health
Cigna
Humana Medicare
Kaiser Mid Atlantic
Optum
Quest Behavioral Health
United Health/Optum - Medicare
Tri-Care
CareFirst Blue Cross Blue Shield
Medicaid
Medicare
New Hampshire
Aetna
Carelon Behavioral Health
Cigna
Optum
Quest Behavioral Health
Virigina
Aetna
CareFirst Blue Cross Blue Shield
Carelon Behavioral Health
Cigna
Humana
Humana Medicare
Kaiser Mid Atlantic
Kaiser Mid-Atlantic - Medicaid
Optum
Tri-Care
United Health/Optum - Medicaid
United Health/Optum - Medicare
