Good Faith Estimate – Your Right to Know the Cost of Care

Kissimmee Family Wellness Center
Effective November 2025

Under the federal No Surprises Act, you have the right to receive a Good Faith Estimate of expected charges before receiving non-emergency healthcare services — whether you have insurance or are paying out-of-pocket.

  • You may request a written Good Faith Estimate at any time before your scheduled service.
  • We will provide it at least one business day before your appointment (or immediately if scheduled same-day).
  • The estimate includes costs for your visit and any related tests, equipment, or services we provide.
  • If your final bill is $400 or more above the Good Faith Estimate you received, you have the right to dispute the charges.
  • Keep a copy (paper or photo) of your Good Faith Estimate for your records.

How to request your estimate

Call or text (407) 847-4101 or ask at the front desk.

For questions or more information about your rights under the No Surprises Act, visit www.cms.gov/nosurprises or call 1-800-985-3059.

Kissimmee Family Wellness Center
1950 E Irlo Bronson Memorial Hwy, STE 105
Kissimmee, FL 34744
Phone: (407) 847-4101