Under current law, health care providers and facilities may bill OON patients directly, requiring the patient to seek reimbursement from his or her health plan.

On Jan. 1, a new law will go into effect limiting "surprise" medical bills, or bills patients receive for out-of-network (OON) care, in emergency settings and from out-of-network providers at in-network facilities. The No Surprises Act, enacted in December 2020, is part of the 2020 year-end omnibus spending bill known as the Consolidated Appropriations Act of 2021.

Complete your profile to continue reading and get FREE access to BenefitsPRO, part of your ALM digital membership.

Your access to unlimited BenefitsPRO content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Breaking benefits news and analysis, on-site and via our newsletters and custom alerts
  • Educational webcasts, white papers, and ebooks from industry thought leaders
  • Critical converage of the property casualty insurance and financial advisory markets on our other ALM sites, PropertyCasualty360 and ThinkAdvisor
NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.