The No Surprises Act Is in Full Effect

Consumers have new billing protections when getting emergency care, non-emergency care from out-of-network providers at in-network facilities, and air ambulance services from out-of-network providers. Through the No Surprises Act, new rules aimed to protect consumers, excessive out-of-pocket costs are restricted, and emergency services must continue to be covered without any prior authorization, regardless of whether or not a provider or facility is in-network. Previously, if consumers had health coverage and got care from an out-of-network provider, their health plan usually would not cover the entire out-of-network cost. This left many with higher costs than if they had been seen by an in-network provider. This is especially common in an emergency, where consumers might not be able to choose the provider. Even if a consumer goes to an in-network hospital, they might get care from out-of-network providers at that facility. For more, view this article