Information for uninsured & self-pay clients

Your right to a
Good Faith Estimate.

You can receive a written estimate of expected health care charges when you are uninsured or are choosing not to use your health coverage.

Understand expected costs.

You may request an estimate before scheduling. It should describe the expected costs of the planned health care items and services. The estimate is specific to the provider or facility issuing it.

When to expect your estimate

Keep a copy.

Save your estimate so you can compare it with your bill. If a provider or facility bills you at least $400 more than its estimate, you may use the federal patient-provider dispute resolution process.

Request an estimate from Aquarius Rising

Contact rosemarie@aquariusrisingllc.com or call 856-553-5076. Please do not send sensitive clinical information by email.

For details about your rights, visit CMS’s Good Faith Estimate guide or review the official CMS notice.

This notice explains your rights. It is not your personalized estimate.