{"id":1267,"date":"2024-10-07T09:41:27","date_gmt":"2024-10-07T14:41:27","guid":{"rendered":"https:\/\/mellitimedical.com.medpb.dev\/?page_id=1267"},"modified":"2024-10-07T09:48:39","modified_gmt":"2024-10-07T14:48:39","slug":"no-surprises-act","status":"publish","type":"page","link":"https:\/\/mellitimedical.com.onspire.dev\/?page_id=1267","title":{"rendered":"No Surprises Act"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1267\" class=\"elementor elementor-1267\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-50b3274 e-flex e-con-boxed e-con e-parent\" data-id=\"50b3274\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1d4765d elementor-widget elementor-widget-heading\" data-id=\"1d4765d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">No Surprises Act\n<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3a2fe82 elementor-widget elementor-widget-heading\" data-id=\"3a2fe82\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">You have the right to receive a \u201cGood Faith Estimate\u201d explaining how much your medical care will cost.<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ab75a87 elementor-widget elementor-widget-heading\" data-id=\"ab75a87\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Good Faith Estimate<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e2ce77a elementor-widget elementor-widget-text-editor\" data-id=\"e2ce77a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Under the law, health care providers need to give patients who don\u2019t have insurance or who are not using insurance an estimate of the bill for medical items and services.\u00a0<\/p><ul><li>You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services that are reasonably expected at the time of scheduling. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.<\/li><li>For patients who don\u2019t have insurance or who are not using insurance, make sure your provider provides a Good Faith Estimate of scheduled services in writing at least 1 business day before the medical service or item.<\/li><li>You can also ask any provider you choose, for a Good Faith Estimate before you schedule an item or service.<\/li><\/ul><ul><li>If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.<\/li><li>Make sure to save a copy or picture of your Good Faith Estimate.<\/li><\/ul><p>For questions or more information about your right to a Good Faith Estimate, visit\u00a0<a href=\"https:\/\/www.cms.gov\/nosurprises\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.cms.gov\/nosurprises<\/a>\u00a0 or call\u00a0<a href=\"tel:1-800-985-3059\">1-800-985-3059<\/a>.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4016cb2 e-con-full e-flex e-con e-child\" data-id=\"4016cb2\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ae15925 elementor-widget elementor-widget-heading\" data-id=\"ae15925\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u200b\u200bYour Rights and Protections Against Surprise Medical Bills\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d85c59 elementor-widget elementor-widget-text-editor\" data-id=\"4d85c59\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b38e6e2 e-con-full e-flex e-con e-child\" data-id=\"b38e6e2\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3e32ef2 elementor-widget elementor-widget-heading\" data-id=\"3e32ef2\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">What is \u201cbalance billing\u201d (sometimes called \u201csurprise billing\u201d)?<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9af651e elementor-widget elementor-widget-text-editor\" data-id=\"9af651e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and\/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a healthcare facility that isn\u2019t in your health plan\u2019s network.<\/p><p>\u201cOut-of-network\u201d describes providers and facilities that haven\u2019t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called \u201cbalance billing.\u201d This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.\u00a0<\/p><p>\u201cSurprise billing\u201d is an unexpected balance bill. This can happen when you can\u2019t control who is involved in your care\u2014like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9ea3ed7 e-con-full e-flex e-con e-child\" data-id=\"9ea3ed7\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5fc97e8 elementor-widget elementor-widget-heading\" data-id=\"5fc97e8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">You are protected from balance billing for:<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2d1ed22 elementor-widget elementor-widget-text-editor\" data-id=\"2d1ed22\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>Emergency services<\/strong><\/p><p>If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan\u2019s in-network cost-sharing amount (such as copayments and coinsurance). You can\u2019t be balance billed for these emergency services. This includes services you may get after you\u2019re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3ec2b74 e-con-full e-flex e-con e-child\" data-id=\"3ec2b74\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1f8012d elementor-widget elementor-widget-heading\" data-id=\"1f8012d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Certain services at an in-network hospital or ambulatory surgical center\n<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-898fd06 elementor-widget elementor-widget-text-editor\" data-id=\"898fd06\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan\u2019s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can\u2019t balance bill you and may not ask you to give up your protections not to be balance billed.<\/p><p>If you get other services at these in-network facilities, out-of-network providers can\u2019t balance bill you, unless you give written consent and give up your protections.<\/p><p><strong>You\u2019re never required to give up your protections from balance billing. You also aren\u2019t required to get care out-of-network. You can choose a provider or facility in your plan\u2019s network.<\/strong><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-848a5a1 e-con-full e-flex e-con e-child\" data-id=\"848a5a1\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-22ead94 elementor-widget elementor-widget-heading\" data-id=\"22ead94\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">When balance billing isn\u2019t allowed, you also have the following protections:\n<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-86fccc7 elementor-widget elementor-widget-text-editor\" data-id=\"86fccc7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li>You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.\u00a0<\/li><li>Your health plan generally must:<ul><li>Cover emergency services without requiring you to get approval for services in advance (prior authorization).<\/li><li>Cover emergency services by out-of-network providers.<\/li><li>Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.<\/li><li>Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.<\/li><\/ul><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-38a064d elementor-widget elementor-widget-text-editor\" data-id=\"38a064d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>If you think you\u2019ve been wrongly billed<\/strong>, visit this\u00a0<a href=\"https:\/\/www.cms.gov\/nosurprises\/consumers\/complaints-about-medical-billing\" target=\"_blank\" rel=\"noreferrer noopener\">website<\/a>\u00a0or call\u00a0<a href=\"tel:1-800-985-3059\">1-800-985-3059<\/a><\/p><p>Visit\u00a0<a href=\"https:\/\/www.cms.gov\/nosurprises\/consumers\" target=\"_blank\" rel=\"noreferrer noopener\">www.cms.gov\/nosurprises\/consumers<\/a>\u00a0for more information about your rights under federal law.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>No Surprises Act You have the right to receive a \u201cGood Faith Estimate\u201d explaining how much your medical care will cost. Good Faith Estimate Under the law, health care providers need to give patients who don\u2019t have insurance or who are not using insurance an estimate of the bill for medical items and services.\u00a0 You [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":120,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-1267","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>No Surprises Act - ABC Hearing Aid Center<\/title>\n<meta name=\"robots\" content=\"noindex, nofollow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"No Surprises Act - ABC Hearing Aid Center\" \/>\n<meta property=\"og:description\" content=\"No Surprises Act You have the right to receive a \u201cGood Faith Estimate\u201d explaining how much your medical care will cost. 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