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Displaying items by tag: medical bills

The No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services, non-emergency services from out-of-network providers at in- network facilities and services from out-of-network air ambulance service providers. It also establishes an independent dispute resolution process for payment disputes between plans and providers and provides new dispute resolution opportunities for uninsured and self-pay individuals when they receive a medical bill that is substantially greater than the good faith estimate they get from the provider.

Starting in 2022, there are new protections that prevent surprise medical bills. If you have private health insurance, these new protections ban the most common types of surprise bills. If you’re uninsured or you decide not to use your health insurance for a service, under these protections, you can often get a good faith estimate of the cost of your care up front before your visit. If you disagree with your bill, you may be able to dispute the charges.

Here’s what you need to know about your new rights.

Published in Best Practices
Monday, 21 November 2022 00:05

Gobble up These Tip on Surprise Medical Bills

Have your employees ever sought medical care and later found that their medical bill was higher than expected? They may have felt angry and upset at this sudden and unexpected financial burden and come to you for help and explanation.

The two reasons this typically happens are:
  • Services were provided at an in-network facility by an out-of-network provider
  • Emergency services were performed out-of-network
The good news is that effective January 1, 2022, a No Surprises Act went into effect to protect you and your employees from these surprises. This act bans surprise bills for most emergency services, non-emergency services from out-of-network providers at in-network facilities, and service from out-of-network air ambulance service providers.

Remind your employees that they can take the following steps if they receive a surprise bill
  • Review invoices for any billing errors
  • Contact the billing department to correct and issue a new bill
  • Contact your Client Manager
If you have any questions, please reach out to your Client Manager.

You may share the educational documents linked below with your employees.
Published in Best Practices