Good Faith Estimate Notice

A Good Faith Estimate is an estimate of the expected charges for healthcare services, including:

• Medical evaluations

• Telehealth consultations

• Follow-up visits

• Chronic disease management visits

• Medication management visits

• Wellness consultations

• Other healthcare services provided by Redefined Health & Wellness LLC

The estimate is based on information known at the time it is created and does not guarantee final charges.

Actual costs may vary depending on your medical condition, treatment needs, testing requirements, referrals, or additional services requested.

You are entitled to receive a Good Faith Estimate if you:

• Do not have health insurance, or

• Choose not to use your health insurance for services provided.

You have the right to:

• Request a Good Faith Estimate before scheduling a service.

• Receive a Good Faith Estimate in writing.

• Ask questions about expected charges before receiving care.

• Save a copy of your estimate for your records.

If you receive a bill that is substantially higher than your Good Faith Estimate, you may have the right to dispute the charges through the federal patient-provider dispute resolution process.

For questions regarding dispute resolution, visit:

CMS No Surprises Act Information Center

Additional services, testing, referrals, or medications prescribed by outside providers, pharmacies, laboratories, imaging centers, specialists, hospitals, or other healthcare facilities are not included in these estimates.

Patients are encouraged to contact us before scheduling services if they have questions regarding pricing or expected costs.

We are committed to transparent pricing and helping patients understand their healthcare expenses before treatment.

Redefined Health and Wellness LLC

Website:
www.redefinedhealthnwellness.com

Email: contact@redefinedhealthnwellness.com

Phone: 202-945-2893

Service Areas:

• Maryland

• Virginia

• Texas