Last Revised: 6/25/2026

Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate (GFE) explaining the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

How the Good Faith Estimate Works

• You will receive a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

• The Good Faith Estimate will show the estimated costs of items and services for your healthcare needs.

• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

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

How to Request Your Good Faith Estimate

If you are uninsured or not planning to use health insurance for your services at Elite Performance EMDR, you have the right to request and receive a Good Faith Estimate for our services.

To request a Good Faith Estimate or to learn more about our fees and services, please contact us:

Elite Performance EMDR
Phone: 951-717-4310
Email: jennifer@eliteemdr.com
Website: www.eliteemdr.com