NO SURPRISES ACT

PATIENT PROTECTIONS AGAINST SURPRISE BILLING

• Bans surprise billing for emergency services. Emergency services, regardless of where they are provided, must be treated on an in-network basis without requirements for prior authorization.

• Bans high out-of-network cost-sharing for emergency and non-emergency services. Patient cost-sharing, such as co-insurance or a deductible, cannot be higher than if such services were provided by an in-network doctor, and any coinsurance or deductible must be based on in-network provider rates.

• Bans out-of-network charges for ancillary care (like an anesthesiologist or assistant surgeon) at an in-network facility in all circumstances.

• Bans other out-of-network charges without advance notice. Health care providers and facilities must provide patients with a plain-language consumer notice explaining that patient consent is required to receive care on an out-of-network basis before that provider can bill at the higher out-of-network rate.

How do you dispute a surprise medical bill?

If you have question about these rules or believe rules aren’t being followed, contact the No Surprises Help Desk at 1-800-985-3059 from 8am to 8pm EST, 7 days a week, to submit your question or a complaint. Or, you can submit a complaint online at: http:cmsitsm.servicenowservices.com