Good Faith Estimates

Mountain Family Health Centers provides Good Faith Estimates to our uninsured patients as part of the “No Surprises Act”. If you would like to know the cost of your next visit with us, please ask the Front Desk staff, send a message through the Patient portal or request one next time you call to schedule an appointment. MFHC will provide an estimate in a timely manner.

Please Note: This is only an estimate, and your providers may recommend additional services during your visit that MFHC staff cannot predict.

If your actual charges are more than $400 above the estimate, you can initiate a provider-patient dispute resolution process at www.cms.gov/nosurprises/consumer-protections/Payment-disagreements.com

Starting a dispute resolution process will not reduce the quality of health services you receive at MFHC.

Mountain Family Health Centers proporciona estimaciones de buena fe a nuestros pacientes sin Seguro médico como parte de la “Ley Sin Sorpresas”. Si desea conocer el costo de su próxima consulta con nosotros, pregunte al personal de recepción, envíe un mensaje a través del portal del paciente o solicite uno la próxima vez que llame para programar una cita. MFHC proporcionará un estimado de manera oportuna.

Tenga En Cuenta: Esto es solo una estimación, y sus proveedores pueden recomendar servicios adicionales durante su visita que el personal de MFHC no puede predecir.

Si sus cargos reales superan en más de $ 400 el valor estimado, puede iniciar un proceso de resolución de disputas entre el proveedor y el paciente en www.cms.gov/nosurprises/consumer-protections/Payment-disagreements.com

Iniciar un proceso de resolución de disputas no reducirá la calidad de los servicios de salud que recibe en MFHC.

Mountain Family Health Centers is a 501(c)(3) nonprofit Federally Qualified Health Center

OUR MISSION

We improve the health of our community by providing equitable and affordable medical, behavioral, and dental healthcare for all.


970-945-2840
contact@mountainfamily.org
(general questions only)
1905 Blake Avenue, Suite 101
Glenwood Springs, CO 81601