{"id":8652,"date":"2024-02-08T14:41:55","date_gmt":"2024-02-08T14:41:25","guid":{"rendered":"https:\/\/aporg1.wpenginepowered.com\/?page_id=8652"},"modified":"2024-02-20T10:07:24","modified_gmt":"2024-02-20T10:07:24","slug":"no-surprises-act-notice","status":"publish","type":"page","link":"https:\/\/www.ap.org\/no-surprises-act-notice\/","title":{"rendered":"No surprises act notice"},"content":{"rendered":"<style id=\"strategiq-faq-accordion-style\">.block-faq-accordion{--transitionLength: 0.4s;--transitionTiming: ease-in-out;padding-top:calc(1.625rem + 4.5vw);padding-bottom:calc(1.625rem + 4.5vw)}@media (min-width: 1200px){.block-faq-accordion{padding-top:5rem}}@media (min-width: 1200px){.block-faq-accordion{padding-bottom:5rem}}.block-faq-accordion .row{position:relative;padding-top:2.5rem}.block-faq-accordion .row:before,.block-faq-accordion .row:after{width:calc(100% - 24px);height:.0625rem;content:'';background-color:var(--grey-tertiary);position:absolute;top:0;left:.75rem;pointer-events:none}.block-faq-accordion .row:after{max-width:5.375rem;height:.5rem;background-color:var(--primary)}.block-faq-accordion__sticky:has(.content-container){margin-bottom:2rem}@media (min-width: 768px){.block-faq-accordion__sticky:has(.content-container){margin-bottom:0}}@media (min-width: 768px){.block-faq-accordion__sticky{position:-webkit-sticky;position:sticky;top:var(--site-header-height)}}.block-faq-accordion__sticky .heading{font-size:32px}@media only screen and (min-width: 320px){.block-faq-accordion__sticky .heading{font-size:calc( 32px + 16 * (100vw - 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320px) \/ (1440 - 320))}}@media only screen and (min-width: 1440px){.block-faq-accordion .accordion-trigger{font-size:20px}}.block-faq-accordion .accordion-trigger:before{width:.375rem;height:100%;content:'';background-color:var(--primary);position:absolute;top:0;left:0}.block-faq-accordion .accordion-trigger:after{display:block;position:absolute;right:1.75rem;top:50%;content:'';width:1.25rem;height:.6875rem;-webkit-transform:translateY(-50%);transform:translateY(-50%);-webkit-transform-origin:center;transform-origin:center;-webkit-transition:0.3s background-image ease-in-out,-webkit-transform var(--transitionLength) var(--transitionTiming);transition:0.3s background-image ease-in-out,-webkit-transform var(--transitionLength) var(--transitionTiming);transition:transform var(--transitionLength) var(--transitionTiming),0.3s background-image ease-in-out;transition:transform var(--transitionLength) var(--transitionTiming),0.3s background-image ease-in-out,-webkit-transform var(--transitionLength) var(--transitionTiming);background-image:url(\"data:image\/svg+xml,%3Csvg xmlns='http:\/\/www.w3.org\/2000\/svg' fill='none' viewBox='0 0 20 12'%3E%3Cpath fill='%23FF1818' fill-rule='evenodd' d='M10.216 8.177 1.93.317a1.174 1.174 0 0 0-1.6 0 1.036 1.036 0 0 0 0 1.516l9.93 9.418 9.43-9.44a1.033 1.033 0 0 0-.042-1.516 1.176 1.176 0 0 0-1.6.04l-7.832 7.841Z' clip-rule='evenodd'\/%3E%3C\/svg%3E\");background-repeat:no-repeat;background-position:center;background-size:contain}\n\n\/*# sourceMappingURL=block-faq-accordion.css.map *\/\n<\/style>\n<section style=\"padding-top:0;\" class=\"block-faq-accordion has-no-background wp-block-strategiq-faq-accordion\">\n\t<div class=\"container\">\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-12 col-lg-6\">\n\t\t\t\t<div class=\"block-faq-accordion__sticky\">\n\t\t\t\t\t<h1 class=\"heading heading\"  data-dsap>Your Rights and Protections Against Surprise Medical Bills 2024<\/h1>\t\t\t\t\t\t\t\t\t\t\t<div class=\"content-container\"><p>When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn\u2019t be charged more than your plan\u2019s co-payments, coinsurance and\/or deductible.<\/p>\n<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"col-12 col-lg-6\">\n\t\t\t\t<div class=\"accordion\">\n\t\t\t\t\t\t\t\t\t<div class=\"accordion-item\">\n\t\t\t\t\t\t<input id=\"accordion-trigger-0-faq-accordion-66e46cb7b0a33\" class=\"accordion-trigger-input\" type=\"checkbox\"><\/input>\n\t\t\t\t\t\t<label class=\"accordion-trigger\" for=\"accordion-trigger-0-faq-accordion-66e46cb7b0a33\">What is \u201cBalance Billing\u201d (Sometimes Called \u201cSurprise Billing\u201d)?<\/label>\n\t\t\t\t\t\t<section class=\"accordion-animation-wrapper\">\n\t\t\t\t\t\t\t<div class=\"accordion-animation\">\n\t\t\t\t\t\t\t\t<div class=\"accordion-transform-wrapper\">\n\t\t\t\t\t\t\t\t\t<div class=\"accordion-content\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"content-container\">\n\t\t\t\t\t\t\t\t\t\t\t<p>When you see a doctor or other health care provider, you may owe certain\u00a0<a href=\"https:\/\/www.healthcare.gov\/glossary\/out-of-pocket-costs\/\">out-of-pocket costs<\/a>, like a\u00a0<a href=\"https:\/\/www.healthcare.gov\/glossary\/co-payment\/\">copayment<\/a>,\u00a0<a href=\"https:\/\/www.healthcare.gov\/glossary\/co-insurance\/\">coinsurance<\/a>, or\u00a0<a href=\"https:\/\/www.healthcare.gov\/glossary\/deductible\/\">deductible<\/a>. You may have additional costs or have to pay the entire bill if you see a provider or visit a health care facility that isn\u2019t in your health plan\u2019s network.<\/p>\n<p>\u201cOut-of-network\u201d means providers and facilities that haven\u2019t signed a contract with your health plan to provide services. Out-of-network providers may be allowed to bill you for the difference between what your plan pays and the full amount charged for a service. This is called \u201c<b>balance billing<\/b>.\u201d This amount is likely more than in-network costs for the same service and might not count toward your plan\u2019s deductible or annual out-of-pocket limit.<\/p>\n<p>\u201cSurprise billing\u201d is an unexpected balance bill. This can happen when you can\u2019t control who is involved in your care\u2014like when you have an emergency or when you schedule a visit at an innetwork facility but are unexpectedly treated by an out-of-network provider. Surprise medical bills could cost thousands of dollars depending on the procedure or service.<\/p>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"accordion-item\">\n\t\t\t\t\t\t<input id=\"accordion-trigger-1-faq-accordion-66e46cb7b0a33\" class=\"accordion-trigger-input\" type=\"checkbox\"><\/input>\n\t\t\t\t\t\t<label class=\"accordion-trigger\" for=\"accordion-trigger-1-faq-accordion-66e46cb7b0a33\">You\u2019re Protected From Balance Billing For: Emergency Services<\/label>\n\t\t\t\t\t\t<section class=\"accordion-animation-wrapper\">\n\t\t\t\t\t\t\t<div class=\"accordion-animation\">\n\t\t\t\t\t\t\t\t<div class=\"accordion-transform-wrapper\">\n\t\t\t\t\t\t\t\t\t<div class=\"accordion-content\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"content-container\">\n\t\t\t\t\t\t\t\t\t\t\t<p>If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most they can bill you is your plan\u2019s in-network cost-sharing amount (such as copayments, coinsurance, and deductibles). You can\u2019t be balance billed for these emergency services. This includes services you may get after you\u2019re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.<\/p>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"accordion-item\">\n\t\t\t\t\t\t<input id=\"accordion-trigger-2-faq-accordion-66e46cb7b0a33\" class=\"accordion-trigger-input\" type=\"checkbox\"><\/input>\n\t\t\t\t\t\t<label class=\"accordion-trigger\" for=\"accordion-trigger-2-faq-accordion-66e46cb7b0a33\">You\u2019re Protected From Balance Billing For: Certain services at an in-network hospital or ambulatory surgical center<\/label>\n\t\t\t\t\t\t<section class=\"accordion-animation-wrapper\">\n\t\t\t\t\t\t\t<div class=\"accordion-animation\">\n\t\t\t\t\t\t\t\t<div class=\"accordion-transform-wrapper\">\n\t\t\t\t\t\t\t\t\t<div class=\"accordion-content\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"content-container\">\n\t\t\t\t\t\t\t\t\t\t\t<p>When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers can bill you is your plan\u2019s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can\u2019t balance bill you and may not ask you to give up your protections not to be balance billed.<\/p>\n<p>If you get other types of services at these in-network facilities, out-of-network providers can\u2019t balance bill you, unless you give written consent and give up your protections.<\/p>\n<p><b>You\u2019re\u00a0<u>never<\/u>\u00a0required to give up your protections from balance billing. You also aren\u2019t required to get out-of-network care. You can choose a provider or facility in your plan\u2019s network.<\/b><\/p>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"accordion-item\">\n\t\t\t\t\t\t<input id=\"accordion-trigger-3-faq-accordion-66e46cb7b0a33\" class=\"accordion-trigger-input\" type=\"checkbox\"><\/input>\n\t\t\t\t\t\t<label class=\"accordion-trigger\" for=\"accordion-trigger-3-faq-accordion-66e46cb7b0a33\">When Balance Billing isn\u2019t Allowed, You Also Have These Protections:<\/label>\n\t\t\t\t\t\t<section class=\"accordion-animation-wrapper\">\n\t\t\t\t\t\t\t<div class=\"accordion-animation\">\n\t\t\t\t\t\t\t\t<div class=\"accordion-transform-wrapper\">\n\t\t\t\t\t\t\t\t\t<div class=\"accordion-content\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"content-container\">\n\t\t\t\t\t\t\t\t\t\t\t<ul>\n<li>You\u2019re only responsible for paying your share of the cost (like the copayments, coinsurance, and deductible that you would pay if the provider or facility was in-network). Your health plan will pay any additional costs to out-of-network providers and facilities directly.<\/li>\n<li>Generally, your health plan must:\n<ul type=\"circle\">\n<li>Cover emergency services without requiring you to get approval for services in advance (also known as \u201cprior authorization\u201d).<\/li>\n<li>Cover emergency services by out-of-network providers.<\/li>\n<li>Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.<\/li>\n<li>Count any amount you pay for emergency services or out-of-network services toward your in-network deductible and out-of-pocket limit.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>If you think you\u2019ve been wrongly billed, contact 1-800-985-3059.<\/p>\n<p>Visit\u00a0<a href=\"http:\/\/www.cms.gov\/nosurprises\/consumers\">cms.gov\/nosurprises\/consumers<\/a>\u00a0for more information about your rights under federal law.<\/p>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/section>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":9,"featured_media":0,"parent":0,"menu_order":12,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-8652","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>No Surprises Act Notice | The Associated Press<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ap.org\/no-surprises-act-notice\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" 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