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There is a little bit of good news here from the omnibuss budget passed at the end of 2020. Search for “NO SURPRISES ACT” on this page: https://congressionaldi
by MarkSweep 5y ago
There is a little bit of good news here from the omnibuss budget passed at the end of 2020. Search for “NO SURPRISES ACT” on this page:
https://congressionaldish.com/cd227-coronabus-health-care/ https://congressionaldish.com/cd227-coronabus-health-care/
“Starting on January 1, 2022, any health insurance company that provides “any benefits” in an emergency department can not require pre-authorization of those services or deny coverage because the emergency department is out of their network. If emergency services are provided out-of-network, there can not be any limits on coverage any more restrictive than what would be covered by an in-network emergency department and the out-of-pocket costs can’t be more than they would be in-network. Out-of-pocket payments at an out-of-network emergency room must count towards in-network deductibles and out-of-pocket maximums.”