Action Plan: Medical bill payment options


Your situation: Medical bill payment options

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This action plan applies to you if:

  • You got care at a health care facility, including the emergency room
  • You got a medical bill that you can’t pay for
  • You didn’t use health insurance
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Not your situation?

Answer a few questions, and we’ll get you to the right place.

Get a different action plan for your bill

We’re here to help

Contact the No Surprises Help Desk for help in over 350 languages and for information in a format that’s accessible to you. You can also ask a question online using our complaints form.

Get help in Español, Français, عربي, русский, नेपाली, and 350 other languages:  1-800-985-3059


Action Plan

High medical bills are frustrating. Follow these steps to reduce the cost of your care.

Check your bill for errors.

Does your bill match what happened when you got care? Are you getting billed twice for the same thing or for services you didn’t get?

Learn how to check your bill

Compare your bill to your good faith estimate.

A good faith estimate is a list of expected charges for health care items and services. You can ask for a good faith estimate before you get care if you're not using health insurance.

You won’t get a good faith estimate if you:

  • Got care in an emergency room
  • Scheduled care less than 3 days in advance

Read more about good faith estimates

If any of your providers charged at least $400 more than the estimate, dispute your bill.

You have the right to dispute your bill if it’s at least $400 more than a provider’s estimate.

An independent third party will review your bill. They will determine if you were charged too much. If you were, your bill will be reduced.

Learn how to dispute your bill

Ask for a lower bill.

Providers (or their billing departments) can sometimes lower the price. They may also offer payment plans. Talk to your provider to learn about your options.

Get tips for talking to your provider

Ask for financial assistance.

Nonprofit hospitals must give financial assistance to eligible patients who can't afford to pay. If you got care elsewhere, they may still offer financial assistance.

Ask your health care facility's billing department about financial help.

Learn how to apply for financial assistance

Get help from outside resources.

Here are more resources to help you resolve your issue:

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Consumer Assistance Programs

Consumer Assistance Programs may be able to give you advice for your specific case in the state you got care.

Find a Consumer Assistance Program in your state on CMS.gov

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Patient advocates

Patient advocates can handle medical billing issues on your behalf.

Find out how patient advocates can help you

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Friends and family

Consider asking a loved one for help. They can advocate on your behalf if you're feeling sick or overwhelmed.

Still have questions? Find the answers you need in a way that works for you.

Call the No Surprises Help Desk

Get answers about the No Surprises Act. Call our Help Desk at 1-800-985-3059. We can help you in English, Spanish and over 350 other languages.

Get help

Find a patient advocate near you

Patient advocates can help you navigate the healthcare system. Work with an advocate to get the care and resources you need.

Find a patient advocate

Page Last Modified:
08/21/2026 12:08 PM