Aliso Viejo 92656 Anaheim 92801 Anaheim Hills 92807 Atwood 92811 Balboa 92661 Balboa Island 92662 Brea 92821 Buena Park 90620 Capistrano Beach 92624 Corona Del Mar 92625 Costa Mesa 92626 Coto de Caza 92679 Cowan Heights 92705 Cypress 90630 Dana Point 92629 Dove Canyon 92679 East Lake 92886 East Tustin 92780 El Modena 92869 El Toro 92630 El Toro USMC Air STN 92709 Emerald Bay 92651 Foothill Ranch 92610 Fountain Valley 92708 Fullerton 92832 Garden Grove 92840 Huntington Beach 92646 Irvine 92606 Ladera 92692 La Habra 90631 La Palma 90623 Ladera Ranch 92694 Laguna Beach 92651 Laguna Hills 92653 Laguna Niguel 92677 Laguna Woods 92653 Lake Forest 92630 Las Flores 92688 Leisure World 92653 Leisure World 90740 Lemon Heights 82705 Lido Isle 92663 Los Alamitos 90720 Midway City 92655 Mission Viejo 92690 Modjeska 92667 Monarch Beach 92677 Newport Beach 92660 Newport Center 92660 North Tustin 92869 Northwood 92620 Olinda 92823 Olive 92865 Orange 92866 Orange Park Acres 92869 Placentia 92870 Portola Hills 92679 Rancho Santa Margarita 92688 Red Hill 92705 Rossmoor 90720 San Clemente 92672 San Juan Capistrano 92675 San Juan Hot Springs 92675 Santa Ana 92701 Santa Ana Heights 92707 Seal Beach 90740 Silverado 92676 South Laguna 92677 Stanton 90680 Sunset Beach 90742 Surfside 90743 Three Arch Bay 92677 Trabuco Canyon 92679 Turtle Rock 92612 Tustin 92780 Villa Park 92861 Westminster 92683 Woodbridge 92614 Yorba Linda 92886

You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health 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 expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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.