{"id":5051,"date":"2022-11-14T16:31:59","date_gmt":"2022-11-15T00:31:59","guid":{"rendered":"https:\/\/mnjinsurance.com\/?p=5051"},"modified":"2023-01-14T16:38:57","modified_gmt":"2023-01-15T00:38:57","slug":"no-surprises-act-summary-and-what-employers-and-employees-need-to-know","status":"publish","type":"post","link":"https:\/\/mnjinsurance.com\/no-surprises-act-summary-and-what-employers-and-employees-need-to-know\/","title":{"rendered":"No Surprises Act Summary and What Employers and Employees Need to Know"},"content":{"rendered":"

As of January 2022, the \u201cNo Surprise Act\u201d provides protection for consumers from unexpected bills for out-of-network care in an emergency and certain non-emergency settings. By enforcing better consumer protection and price transparency, the new regulations will help create better patient experiences and provide better financial protection for individuals.<\/p>\n

Here are a few of the protections you should be aware of:<\/strong><\/p>\n

    \n
  1. The No Surprise Act protects patients from receiving surprise medical bills or balance billing resulting from emergency services from out-of-network providers or out-of-network air ambulance services without prior authorization. In other words, you should not be charged more than in-network cost-sharing for specific <\/em><\/strong>out-of-network services.<\/li>\n
  2. The Act bans out-of-network charges for certain services if the individual is at an in-network facility, including services such as anesthesiology or radiology provided by out-of-network providers. The reason for this is because individuals would not know that the provider is out-of-network if they are at an in-network facility.<\/li>\n
  3. The Act requires health care providers and facilities to provide individuals with an easy-to-understand notice explaining the applicable billing provisions and who to contact if the provider or facility has violated the individual\u2019s new protections.<\/li>\n
  4. The Act also includes requirements that facilities provide \u201cGood Faith Estimates\u201d to individuals and Advance Explanation of Benefits. More guidance on this provision are still being formalized as of 2022.<\/li>\n<\/ol>\n

    We believe that The No Surprise Act creates better financial protection for consumers.<\/p>\n

    For more information on how MNJ Insurance Solutions can help your company and employees, please contact us today.<\/p>\n","protected":false},"excerpt":{"rendered":"

    As of January 2022, the \u201cNo Surprise Act\u201d provides protection for consumers from unexpected bills for out-of-network care in an emergency and certain non-emergency settings. By enforcing better consumer protection and price transparency, the new regulations will help create better patient experiences and provide better financial protection for individuals. Here are a few of the…<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[36],"tags":[40,57,56],"_links":{"self":[{"href":"https:\/\/mnjinsurance.com\/wp-json\/wp\/v2\/posts\/5051"}],"collection":[{"href":"https:\/\/mnjinsurance.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mnjinsurance.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mnjinsurance.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/mnjinsurance.com\/wp-json\/wp\/v2\/comments?post=5051"}],"version-history":[{"count":2,"href":"https:\/\/mnjinsurance.com\/wp-json\/wp\/v2\/posts\/5051\/revisions"}],"predecessor-version":[{"id":5053,"href":"https:\/\/mnjinsurance.com\/wp-json\/wp\/v2\/posts\/5051\/revisions\/5053"}],"wp:attachment":[{"href":"https:\/\/mnjinsurance.com\/wp-json\/wp\/v2\/media?parent=5051"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mnjinsurance.com\/wp-json\/wp\/v2\/categories?post=5051"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mnjinsurance.com\/wp-json\/wp\/v2\/tags?post=5051"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}