Good Faith Estimate

Beginning January 1, 2022, according to the No Surprise Act, health care practitioners must provide a good faith estimate of the total price they will charge for an uninsured or (self-pay) health care service scheduled.

Patients will not be charged for this information. The estimates are not binding, the final price may vary from the estimate based on the patient’s medical needs, and the estimate is valid for 30 days.

Disclaimer: The information provided is a good faith estimate only. It is based on information known at the time prior to services, is not binding, is not a guarantee of final billed charges, is valid only for services provided by Lifetime Eyecare and its providers, and is valid for 30 days from the date provided. Final billed charges may vary from good faith estimates for many reasons including, but not limited to: the patient’s medical condition, unknown circumstances, complications, or findings, final diagnosis, and recommended treatment, devices, supplies, and services ordered by a practitioner.

Suppose you are an insured patient choosing not to use your coverage. In that case, the provision of this estimate does not guarantee that this episode of care is covered or considered medically necessary by your insurance plan. Your insurance company will be the final determination of benefits, coverage, eligibility, and payment based on the terms and conditions of your specific plan when care is billed through your insurance provider.