Your right to receive a Good Faith Estimate
Effective: 2026-09-30 · Version 1.0
Under the federal No Surprises Act, if you pay without using insurance you have the right to a Good Faith Estimate: a written estimate of what your care will cost. With us the good faith estimate is simple: a video visit has a single price of US$79, the same for all ages, and we charge nothing more for it.
Notice: your right to a 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.
- 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 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 cms.gov/nosurprises or call 1-800-985-3059.
Our good faith estimate: US$79
Our service has one price:
- Real-time video visit with Dr. Diana Nieves Castro, MD, for adults or children from 6 months old: US$79.
- Additional charges from us: none.
- Total expected cost from us: US$79.
What's not included
The estimate covers only what we charge. It does not include what other providers charge if the doctor refers you: lab tests (billed by the lab), medications (billed by the pharmacy) or an in-person visit (billed by whoever sees you). Ask them for their own estimate.
When you get it
Because we charge the US$79 when you request the visit, the price is known from the start. We also give you the Good Faith Estimate in writing: if your visit is scheduled at least 3 business days ahead, no later than 1 business day after scheduling; and if you ask for it, no later than 3 business days after your request. It becomes part of your record.
How to request one
Email [email protected] and tell us whether you prefer it on paper or by email. You can ask before you request a visit.
If your bill is US$400 or more over the estimate
If you get a bill that is at least US$400 more than the total of your Good Faith Estimate, you can start the federal patient-provider dispute resolution process. You must start it within 120 calendar days of receiving the bill. Because our price is fixed, we do not expect this to happen; if you think we overcharged you, email us first. See also the cancellation and refund policy.
Sources
- 45 CFR 149.610: Good Faith Estimates for uninsured or self-pay individuals (accessed 2026-09-30)
- 45 CFR 149.620: patient-provider dispute resolution (accessed 2026-09-30)
- Understanding costs in advance (CMS, No Surprises) (accessed 2026-09-30)