No Surprise Billing Act

What Is the No Surprises Act?

  • 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 prohibit 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. Medical services may be given in the hospital by in-network providers as well as out-of-network providers. Out-of-network providers may send you a separate bill.
  • Before you schedule an appointment, call your insurance to find out if the hospital and its providers are in your network.
What is a Surprise Bill? >>

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