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VECTOR MEDICAL & CONCIERGE

NOTICE OF THE RIGHT TO RECEIVE A GOOD FAITH ESTIMATE

For uninsured or self-pay individuals

 

Effective date: October 13, 2026 | Last updated: October 13, 2026

 

You will know the price of anything before it is done. That’s how this practice works, and it’s also your right under federal law. The notice below explains that right in the government’s own words.

If you do not have health insurance, or you have health coverage but are not using it for the care at issue, you generally have the right to receive a Good Faith Estimate explaining how much your scheduled healthcare items and services are expected to cost. This may include care that is not covered by your plan or that you choose to pay for without submitting a claim.

YOUR RIGHT TO AN ESTIMATE

Under federal law, healthcare providers generally must provide uninsured or self-pay individuals with a Good Faith Estimate of expected charges for scheduled healthcare items and services and when an eligible individual requests one.

  • You may ask VECTOR for a Good Faith Estimate before scheduling a service. If you request one before scheduling, VECTOR generally will provide it within three business days after the request.

  • If you schedule an eligible service at least three but fewer than ten business days in advance, VECTOR generally will provide the estimate no later than one business day after scheduling.

  • If you schedule an eligible service at least ten business days in advance, VECTOR generally will provide the estimate no later than three business days after scheduling.

  • If care is scheduled fewer than three business days in advance, federal law may not require an estimate before the appointment, but you may still ask VECTOR for available pricing information.

The federal Good Faith Estimate process does not apply to emergency care. VECTOR does not provide emergency services; call 911 or go to the nearest emergency department for an emergency.

WHAT THE ESTIMATE WILL DESCRIBE

The written estimate will be based on the information reasonably known when it is prepared and generally will identify the patient, the expected item or service, the anticipated date or period of service, VECTOR's identifying information, and the expected charges for the items and services VECTOR reasonably expects to provide.

 

A Good Faith Estimate generally lists expected charges from a single provider or facility. If another provider or facility may furnish a separately billed item or service, you may need to request a separate estimate from that provider or facility.

 

A Good Faith Estimate is not a contract, does not require you to receive the listed services from VECTOR, and is not a guarantee that every possible item or service will be included. Actual services or charges may differ if your needs or the course of care changes or if unanticipated items or services become necessary.

KEEP AND COMPARE YOUR ESTIMATE

Keep a copy of the Good Faith Estimate and compare it with any bill you receive. You may ask questions about any difference between the estimate and the bill.

IF A BILL IS SUBSTANTIALLY HIGHER

If the billed charges from a provider or facility are at least $400 more than the expected charges shown for that same provider or facility on the Good Faith Estimate, you may be eligible to use the federal patient-provider dispute-resolution process. A dispute generally must be started within 120 calendar days after the date on the initial bill. There is a $25 fee to use the dispute process. Beginning a dispute will not adversely affect the quality of healthcare services furnished to you.

 

For federal information, visit CMS Medical Bill Rights or call the No Surprises Help Desk at 1-800-985-3059.

REQUEST AN ESTIMATE FROM VECTOR

Call VECTOR at (865) 481-5001 to request a Good Faith Estimate. You do not need to use the words Good Faith Estimate to request expected pricing. VECTOR will provide the estimate through an appropriate paper or secure electronic process. Do not send symptoms, diagnoses, photographs, records, or other medical information through ordinary email.

 

This website notice summarizes federal protections and does not replace the individualized written Good Faith Estimate furnished for scheduled care.

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