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No Surprise 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 do not have insurance or who are not using insurance an estimate of expected charges 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 fees.

If your appointment is scheduled at least three days in advance, 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.

The Federal government acknowledges that it will take time for health care facilities to honor these requirements in Electronic Medical Record (EMR) systems. Your eye doctor is committed to providing these Good Faith Estimates as required and can confirm that EMR development has begun to follow this newly enacted law.

While this programming is still being finalized, please ask a member of our team for any estimates as needed.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

Click here to download additional information.

The doctors at CVP Physicians Dayton have either authored or reviewed the content on this site.

Ready to Schedule an Appointment?

Beavercreek Office

89 Sylvania Drive
Dayton, OH 45440

(937) 320-2020

Centerville Office

6601 Centerville Business Pkwy, Suite 350
Dayton, OH 45459

(937) 320-2020

North Office

77 E. Woodbury Dr., #100
Dayton, OH 45415

(937) 320-2020

Springboro Office

580 N. Main Street
Springboro, OH 45066

(937) 320-2020

Troy Office (Retina Only)

1861 Towne Park Drive, Suite C
Troy, OH 45373

(937) 320-2020
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Someone from our team will contact you within 24-48 business hours. Please Advise: if you have an emergency or need immediate assistance, please call our office directly at 937-320-2020 or call 911.

*Communications through our website or via email are not encrypted and are not necessarily secure. Use of the Internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use.

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