Legal

Legal Notices

Li Health LLC · Effective June 8, 2026 · Last updated June 8, 2026

Two notices are required for patients of a cash-pay medical practice. Both are posted here for all patients, in every state we serve.

Open Payments database notice

As required by California Assembly Bill 1278 (AB 1278), effective January 1, 2024, and consistent with the federal Physician Payments Sunshine Act, Li Health provides the following notice to all patients. It is posted as a best practice for every patient, regardless of the state in which care is received.

Mandatory statutory language — California AB 1278

The Open Payments database is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals. It can be found at openpaymentsdata.cms.gov.

For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.

Your right to a Good Faith Estimate

Under Section 2799B-6 of the Public Health Service Act (the No Surprises Act), health care providers are required to give patients who do not have insurance, or who are not using insurance for a service, an estimate of the expected charges before a scheduled service. This is called a Good Faith Estimate.

What this means for Li Health patients

Li Health is a cash-pay practice, so all patients are self-pay by definition. Our fees are transparent and posted publicly on the Pricing page. Payment is collected at or before the time of your appointment, and your payment confirmation serves as your Good Faith Estimate for that service.

Your rights under the No Surprises Act

You have the right to receive a Good Faith Estimate in writing before your scheduled service, or at least one business day in advance if you request one ahead of time.
Your Good Faith Estimate will include the expected cost of your visit. It does not include costs from third-party providers such as laboratories or pharmacies, which are separate from Li Health's fees.
The Good Faith Estimate is not a contract and does not require you to obtain the services described.
If you receive a final bill that is $400 or more above your Good Faith Estimate, you have the right to dispute that bill through the patient-provider dispute resolution process established by the federal government.
You are not required to use the dispute resolution process and may choose to pay the billed amount instead.
Using the dispute resolution process does not waive your right to pursue other legal remedies.

How to request a Good Faith Estimate

To request a written Good Faith Estimate before your appointment, or if you have questions about a bill you have received, contact us before your scheduled visit.

Li Health LLC
Lilit Margaryan, MD
9711 Washingtonian Boulevard, Suite 550
Gaithersburg, MD 20878

For more information about your rights under the No Surprises Act and the Good Faith Estimate requirement, visit cms.gov/nosurprises or call 1-800-985-3059.

Terms of Use Privacy Policy HIPAA Notice of Privacy Practices