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No Surprises Act

Know how much your medical care will cost

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

No Surprises Act FAQ

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.