What It Means
- If you are uninsured or self-pay, you are entitled to a written estimate of expected charges before your care begins.
- The estimate covers items and services reasonably expected to be provided as part of your care.
How to Request One
- Ask any BMS team member or call (408) 850-2913 to request an estimate at least 1 business day before your scheduled service.
- You can dispute a bill that exceeds the estimate by $400 or more.
More Information
- Visit www.cms.gov/nosurprises or call 1-800-985-3059.
These documents are templates intended for review with qualified legal counsel and may not reflect every regulatory obligation that applies to your situation. Contact us with questions.