The federal regulation of certain surprise medical bills goes into effect January 1, 2022. New protections regulate certain Provider’s from balance billing and creates new pathways for patients to better understand the cost of services. Please see the Disclosure Notice for more information:
In addition to the federal regulation of surprise medical bills, the No Surprises Act creates several new patient transparency efforts to provide patients with the opportunity to better understand the cost of care. Please see the Good Faith Estimate Notice for more information:
Question: If the facility I am being seen at for scheduled services is
out of network, can I be balance billed?
Answer: Yes
Question: If I receive Emergency medical services, can I be balance billed?
Answer: No, the Provider cannot balance bill, patient is only responsible
for the in-network cost sharing amount.
Question: If I receive Ancillary services* at an in-network facility by
an out of network Provider, can I be balance billed?
Answer: No, the Provider cannot balance bill, patient is only responsible
for the in-network cost sharing amount.
*Ancillary Services include anesthesiology, pathology, radiology, laboratory, and neonatology services. Ancillary services also include items and services provided by assistant surgeons, hospitalists, and intensivists.