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No Surprises Billing Act

The No Surprises Act (NSA) establishes federal protections against surprise medical bills. Surprise medical bills arise when insured consumers inadvertently receive care from out-of-network hospitals, physicians, or other providers they did not choose. Surprise medical bills pose financial burdens on consumers when health plans deny out-of-network claims or apply higher out-of-network cost sharing. Consumers also face “balance billing” from out-of-network providers that have not contracted to accept discounted payment rates from their health plan.

Protections from the No Surprises Billing Act

The No Surprises Billing Act will protect consumers from surprise medical bills by:

  • Requiring private health plans to cover out-of-network claims and apply in-network cost sharing.
  • Prohibiting physicians, hospitals, and other covered providers from billing patients more than the in-network cost-sharing amount for surprise medical bills.
  • Establishing a process for determining the payment amount for surprise, out-of-network medical bills, starting with negotiations between plans and providers and, if negotiations don’t succeed, an independent dispute resolution process.
Learn More About Your Rights and Protections Against Surprise Medical Bills

Good Faith Estimates

Anderson Healthcare facilities and providers will provide a good-faith estimate of expected charges to uninsured patients and self-paying individuals, and insured patients if they don’t plan to have their health plan help cover the costs. The good faith estimate will be provided after a patient has scheduled an appointment or healthcare service or upon their request. It should include expected charges for the primary item or service and any other items or services that are provided as part of the same scheduled experience.

Anderson Medical Group will provide the good faith estimate within certain timeframes. We will also offer an itemized list of each item or service, grouped by the provider or facility offering care. A staff member will explain the good-faith estimate to the patient over the phone or in person if the patient requests it and then follow up with a paper or electronic estimate. Our team will always provide a good-faith estimate in a way that’s accessible to our patients.

Learn More About Good Faith Estimates
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