Good Faith Estimates
Good Faith Estimate of How Much You Will Pay
How much you will pay for your services at Westside Family Healthcare will depend on your insurance coverage, family income, the number of family members, and how many visits are required to complete your care. If you are a self-pay patient, a Good Faith Estimate can help you determine which Sliding Fee Scale (SFS) you belong to and what you can expect your costs to be. Actual service costs could vary depending on the diagnosis codes for your visit. Our staff can help you determine your costs during your appointment.
Find Westside’s estimates for what to expect to be charged under your SFS for each service.
Medical Service English / Spanish
Dental Service English / Spanish
Behavioral Health Service English / Spanish
Family Planning Service English / Spanish
Dispute Resolution Process
If your actual charges are more than $400 above this estimate, you can initiate a provider-patient dispute resolution process. Starting a dispute resolution process will not reduce the quality of health services you receive at Westside. Visit www.cms.gov/nosurprises/consumers to learn more or to start a dispute.