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BCBS Machine Readable Files

No Surprises Act

The No Surprises Act protects consumers who get coverage through their employer (including a federal, state, or local government), through the Health Insurance Marketplace® or directly through an individual health plan, beginning January 2022, these rules will:

  • Ban surprise billing for emergency services. Emergency services, even if they’re provided out-of-network, must be covered at an in-network rate without requiring prior authorization.
  • Ban balance billing and out-of-network cost-sharing (like out-of-network co-insurance or copayments) for emergency and certain non-emergency services. In these situations, the consumer’s cost for the service cannot be higher than if these services were provided by an in-network provider, and any coinsurance or deductible must be based on in-network provider rates.
  • Ban out-of-network charges and balance billing for ancillary care (like an anesthesiologist or assistant surgeon) by out-of-network providers at an in-network facility.
  • Ban certain other out-of-network charges and balance billing without advance notice. Health care providers and facilities must provide consumers with a plain-language consumer notice explaining that patient consent is required to get care on an out-of-network basis before that provider can bill the consumer.

For consumers who don’t have insurance, these rules make sure they’ll know how much their health care will cost before they get it, and might help them if they get a bill that’s larger than expected.

The rules don’t apply to people with coverage through programs like Medicare, Medicaid, Indian Health Services, Veterans Affairs Health Care, or TRICARE because these programs have other protections against high medical bills.

No Surprises Act Disclosure

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No Surprises Act Uninsured/Self-Pay Good Faith Estimate Notice

English

Arabic

Chinese (Simplified)

Chinese (Traditional)

French

German

Hindi

Hmong

Japanese

Korean

Portuguese (Brazil)

Russian

Spanish

Tagalog

Vietnamese

Follow a manual added link

NO SURPRISES ACT – BALANCE BILLING PROTECTIONS

The No Surprises Act protects patients from large and unexpected surprise bills for out-of-network emergencies and certain non-emergency services provided in in-network health care facilities.

Link to: Financial

To learn more
CLICK HERE.

Contact Us

810 North 22nd Street
Blair, Ne 68008

Hospital Main Phone Number:

(402) 426-2182
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