Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care 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 for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 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.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.
  • Providers cannot balance bill a patient unless patient was notified prior to services and signed an agreed upon consent to waive protections.
  • Any State laws supersede Federal protections against balance billing.

Contact Mosaic


Main Office:

100 E. Ferguson St, Suite 602
Tyler, TX 75702

Lindale Office:

402 W Hubbard St
Lindale, TX 75771

Those seeking care at Mosaic should use our Good Faith Estimate calculator found directly on our website under “Affording Counseling.” You can also follow this link: Clients are encouraged to screenshot or print this page as proof of the Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit:

Department of Health and Human Services: or 877-696-6775

Texas: or 800-252-3439