Effective January 1, 2022, the No Surprises Act (NSA), which Congress passed as part of the Consolidated Appropriations Act of 2021, is designed to protect patients from surprise bills for emergency services at out-of-network facilities or for out-of-network providers at in-network facilities, holding them liable only for in-network cost-sharing amounts. The No Surprises Act also enables uninsured patients to receive a good faith estimate of the cost of care. General Billing Disclosures – Your Rights and Protections Against Surprise Medical Bills When you get emergency care or get treated by an out-of-network provider at an in-network hospital, urgent care, or ambulatory surgical center, you are protected from surprise billing or balance billing. Outpatient mental health practices are not an emergency service facility as defined by this federal legislation. However, the NSA does have implications for private pay or uninsured clients in outpatient settings. Please read on to better understand your rights if you are a client who is sliding scale, private pay, uninsured, or opting out of utilizing your insurance:
PRIVATE PAY OR UNINSURED CLIENTS:
Good Faith Estimate You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment and hospital fees. Make sure your healthcare provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises or call 1-800-MEDICARE (1-800-633-4227).
CEDAR HILL THERAPY, LLC
St.Louis Park Location 4500 Park Glen Rd. Suite 155 St. Louis Park, MN 612.284.4291
South Minneapolis Locations 4344 Nicollet Ave S. Minneapolis, MN 612.284.4291