Good Faith Estimate
Good Faith Estimate
Your Right to a Good Faith Estimate
A Good Faith Estimate explains the expected cost of care for patients who are uninsured or choosing not to use insurance for a service.
Elite Performance Institute
Good Faith Estimate Notice
This page explains when a Good Faith Estimate may apply, who can request one, and what to do if a bill is significantly higher than the estimate.
Important Notice
A Good Faith Estimate is not a bill — it is an estimate based on what is known at the time.
Overview
Your Right to Cost Information
You have the right to receive a Good Faith Estimate explaining how much your health care will cost. Under federal law, the No Surprises Act, health care providers and facilities must give patients who are uninsured or who are not using insurance for a service, also known as self-pay, an estimate of expected charges for non-emergency items and services.
Elite Performance Institute provides chiropractic care, rehab, and performance-based treatment for active individuals in Naperville, Aurora, and surrounding areas.
Contents
Good Faith Estimate Sections
Section 1
Who Can Request a Good Faith Estimate?
Uninsured Patients
Patients who are not enrolled in health insurance coverage may request a Good Faith Estimate.
Self-Pay Patients
This includes patients who have insurance but choose not to have a claim submitted for the scheduled item or service.
Section 2
When Will You Receive It?
Business Days in Advance
If you schedule care 3–9 business days in advance, you will receive the estimate within 1 business day.
Business Days in Advance
If you schedule care 10 or more business days in advance, you will receive the estimate within 3 business days.
Business Days in Advance
If you schedule care 0–2 business days in advance, you are not entitled to a Good Faith Estimate under the federal timeframe rules, but you may still request cost information.
Before Scheduling Care
You can request a Good Faith Estimate before scheduling care; we must provide it within 3 business days.
Business days exclude weekends and federal holidays.
Section 3
If Your Bill Is Higher Than the Estimate
If you receive a bill that is at least $400 more than your Good Faith Estimate for any provider or facility, you can dispute the bill through the federal Patient–Provider Dispute Resolution, also known as PPDR, process.
Save a copy, paper or electronic, of your Good Faith Estimate and your bill.
Section 4
Requesting a Good Faith Estimate from Elite Performance Institute
To request a Good Faith Estimate before scheduling care, please call our office and we will provide one upon request.
You may contact Elite Performance Institute by phone, text, or through the contact form on our website.
Contact Information
Elite Performance Institute
4S100 Illinois Rte 59 #8
Naperville, IL 60563
Phone: 331-472-4326
Section 5
Questions or More Information
Section 6
Elite Performance Institute
Elite Performance Institute provides chiropractic care, rehab, and performance-based treatment for active individuals in Naperville, Aurora, and surrounding areas.
Last updated: March 4, 2026
Need a Good Faith Estimate?
Contact Elite Performance Institute
If you are uninsured, self-pay, or choosing not to use insurance for a scheduled service, you may request a Good Faith Estimate from our office.