No Surprises Act

When you see a health care provider, you may owe certain out-of-pocket costs, like a copayment, coinsurance, or deductible. 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’t in your health plan’s network. Out-of-network means providers and facilities that haven’t signed a contract with your health plan to provide services. Out-of-network providers may bill you for amounts higher than your insurance reimburses for.

The No Surprises Act is a federal law that was passed in December 2021 with an effective date of January 1, 2022. The intention of this act is to prevent clients from receiving unexpected medical bills for services previously provided. The No Surprises Act requires providers to send a Good Faith Estimate to all self-pay or out-of network clients regarding their projected cost for services.

All clients will receive a Good Faith Estimate in writing. It is your right as a client to request a Good Faith Estimate before scheduling a service with any healthcare provider.

If you receive a bill that is at least $400 higher than your Good Faith Estimate, then you have the right to dispute the bill in question. For more information regarding your right to a Good Faith Estimate, please visit www.cms.gov/nosurprises or call 1-800-985-3059.