No Surprises Act

Surprise Bills:  The Watch-outs and Loopholes

The No Surprises Act offers several protections from surprise bills.  But the new law comes with two important watch-outs and a loophole insurance companies may use to eliminate your protections. Waiving Protection from Surprise Bills Surprise bills often come from an out-of-network provider you didn’t know was out-of-network.  The No Surprises Act has some protections for […]

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Two More Protections from Surprise Bills

As of January 1st you are protected from certain Surprise Bills thanks to the No Surprises Act. The good news is that the less-talked about Consolidated Appropriations Act (CAA) gives you protection from surprise bills in two other ways. Consolidated Appropriations Act First, let’s understand a few important things about the CAA. The Act applies

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The No Surprises Act Faces Lawsuits

The No Surprises Act (NSA) became effective January 1st.  This bill protects consumers from most out-of-network surprise bills.  That’s good news for you.  There is bad news for insurance companies. The American Medical Association (AMA) and American Hospital Association (AHA) sued the federal government over the bill’s Independent Dispute Resolution (IDR) process. What is Independent

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What You Need to Know About Waiving Your No Surprises Act Protection

You learned in my last post that providers can ask you to waive your balance billing and cost sharing protections under the No Surprises Act.   To do so, however, facilities must meet specific requirements.  Here’s what you need to know in order to make the best decision for you. Facility Notice & Consent Requirements In

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First Rule Issued for the No Surprises Act

In my February post I summarized the No Surprises Act that is going into effect January 2022. The Act’s main objective is to protect patients from huge surprise bills for certain out-of-network charges.  Patients will only have to pay in-network rates for covered out-of-network charges.   I said I would update you as significant milestones

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