Patient Rights
and Responsibilities

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.

 

For questions or more information about your right to a Good Faith Estimate,
visit: www.cms.gov/nosurprises

 

Chapter 111: Section 70E

Patients' and Residents' Rights

 

Section 70E. As used in this section, "facility'' shall mean any hospital, institution

for the care of unwed mothers, clinic, infirmary maintained in a town, convalescent or

nursing home, rest home, or charitable home for the aged, licensed or subject to licensing by the department; any state hospital operated by the department; any "facility'' as defined in section three of chapter one hundred and eleven B; any private, county or municipal facility, department or ward which is licensed or subject to licensing by the department of mental health pursuant to section nineteen of chapter nineteen; or by the department of mental retardation pursuant to section fifteen of chapter nineteen B; any "facility'' as defined in section one of chapter one hundred and twenty-three; the Soldiers Home in Holyoke, the Soldiers' Home in Massachusetts; and any facility set forth in section one of chapter nineteen or section one of chapter nineteen B.

 

 

To learn more about our Patient Rights click below.

413.739.1100

STAY CONNECTED

For 24/7 after hour phone answering service, please call: 413-739-1100. Para recibir un servicio de contestador telefónico las 24 horas, los 7 días de la semana, llame al: 413-739-1100.

 

This health center is a Health Center

Program grantee under 42 U.S.C. 254b,

and a deemed Public Health Service

Employee under 42 U.S.C. 233(g)-(n).

 

LOCATIONS

1049 Main Street, Springfield, MA 01103

532 Sumner Avenue, Springfield, MA 01108

860 Boston Road, Springfield, MA 01119

473 Sumner Avenue, Springfield, MA 01108

WIC OFFICES   413.693.1029

816 Main Street, Springfield, MA 01105

532 Sumner Avenue, Springfield, MA 01108

1771 Boston Road, Springfield, MA 01129

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