Federal No Surprises Act

TKG PACT Executive Briefings - 3-Minute Market Insights

Today’s topic is the Federal No Surprises Act.

The Federal No Surprises Act is intended to protect consumers from unexpected medical bills that occur when a patient unknowingly receives medical services from physicians and other providers who are outside of their health insurance network; in other words, healthcare providers who are not “in network”.

The law protects consumers specifically from surprise medical bills in three main scenarios:

1. Emergency care from an Out-of-Network provider at an In-Network facility;

2. Any care from an undisclosed Out-of-Network provider; and

3. Uninsured or self-pay patients from unknown costs.
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