The No Surprises Act takes effect on Jan. 1, 2022. The act:
- Protects patients from receiving surprise medical bills resulting from gaps in coverage for emergency services and certain services provided by out-of-network clinicians at in-network facilities, including by air ambulances.
- Holds patients liable only for their in-network cost-sharing amount, while giving providers and insurers an opportunity to negotiate reimbursement.
- Allows providers and insurers to access an independent dispute resolution process in the event disputes arise around reimbursement. The legislation does not set a benchmark reimbursement amount.
- Requires both providers and health plans to assist patients in accessing health care cost information.
To see JCH&L’s information on the Surprise Billing Act and your right to receive a good faith estimate, please click on the links below. If you have questions, please call us at 402-729-3351.