Surprise Medical Billing Protection

San Luis Valley Health complies with the "No Surprises Act," at Section 112 of the federal law. Consumers can expect to have new billing protections when getting emergency care, non-emergency care from out-of-network providers at in-network facilities, and air ambulance services from out-of-network providers. These rules protect consumers from excessive out-of-pocket costs. Emergency services must continue to be covered without any prior authorization, regardless of whether or not a provider or facility is in-network.

Good Faith Estimate

In compliance with the federal "No Surprise Act" law, San Luis Valley Health affirms we offer a good faith estimate of expected charges and provides a list of standard charges. Under this law, health care providers give patients who do not have healthcare coverage an estimate of their bill for health care items or services before providing those items or services.

You have the right to:

• Receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, provider, and hospital fees.
• Receive a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
• Dispute a bill that is at least $400 more than your Good Faith Estimate.
• Save a copy or a picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.

The listed charge of a hospital service is not equivalent to the actual amount paid by governmental or commercial insurance companies; accordingly, each patient’s financial responsibility may vary. The amount a patient pays is based on many factors, including services provided, health insurance, benefit plans and other applicable discounts. When patients need emergency care, hospitals charge a facility fee to pay for patient's care. Emergency Room facility fees are based on how much care the patient needs.

For additional questions or concerns not covered here, call our Patient Account Representatives at (719) 587-6364 or email patientaccounts@slvrmc.org.