What is the No Surprises Act?

The No Surprises Act is a federal law that protects patients from unexpected medical bills when they receive emergency services or treatment from out-of-network providers at in-network facilities. The law prohibits balance billing in these situations and establishes a process for determining appropriate payment rates between insurers and providers.

Why is the No Surprises Act important?

• Financial protection: Shields patients from unexpected out-of-network charges.
• Consent requirements: Ensures patients are informed before receiving non-emergency out-of-network care.
• Dispute resolution: Creates a fair process for resolving payment disagreements.

Key protections under the No Surprises Act

• Ban on surprise bills for emergency services, regardless of where they are provided.
• Elimination of out-of-network cost-sharing for certain services at in-network facilities.
• Requirement for advance notice and consent for scheduled out-of-network care.

How Solace can help

A Solace advocate can help you understand your rights under the No Surprises Act, review bills to identify potential violations, and assist with disputing charges that should be protected under the law. They can help you determine when providers must give advance notice before billing at out-of-network rates and support you through the complaint process if you receive an unexpected medical bill.