Your Rights Under the No Surprise Medical Billing Act

Federal law protects you from unexpected out-of-network charges for emergency care or services at in-network facilities where you didn’t consent to an out-of-network provider. We prioritize transparent billing practices and will always notify you in advance of any non-network services.

Good Faith Estimates: Receive a cost estimate for scheduled services upon request.
Dispute Resolution: Challenge bills exceeding your estimate by $400+.
Freedom from Surprises: No unexpected bills for unanticipated out-of-network care.

Always verify insurance coverage and provider network status before appointments. Questions? Contact our billing team.

This notice summarizes federal protections. For full details, visit the CMS No Surprises Act portal. This is not legal advice.

What is the "No Surprises Act"

The "No Surprises Act" is a law in the United States that took effect on January 1, 2022. It was designed to protect patients from unexpected medical bills, particularly those arising from out-of-network services received at in-network facilities. Prior to this law, patients often received surprise bills when they unknowingly received care from providers not covered by their insurance, especially during emergencies.

Key Provisions of the No Surprises Act

Balance Billing Protections: It prohibits out-of-network providers from sending bills for more than the in-network cost-sharing amount for emergency services and certain non-emergency services provided at an in-network facility.
Patient Consent for Out-of-Network Charges: Out-of-network providers must inform patients about potential charges and obtain their consent before providing non-emergency services.
Dispute Resolution Process: It establishes a process for insurers and providers to resolve billing disputes, known as independent dispute resolution (IDR).
Transparency Requirements: Insurers and providers are required to give patients clear information on healthcare costs and provider network status.
Air Ambulance Services: Extends protections against surprise billing to air ambulance services.

The act aims to reduce financial stress for patients by ensuring they are only responsible for their in-network cost-sharing amounts in many situations, preventing unexpected high medical bills.