What is the No Surprises Act?
Federal legislation protecting patients from surprise/balance medical bills when patients are treated at out-of-network Emergency Rooms.
What does the No Surprises Act mean for you?
With this new law, you can rest assured Tulsa ER & Hospital is NOT more expensive than other hospitals in the Tulsa area.
You will NOT pay any more than your in-network copay, coinsurance or deductible…The same amount you would pay at any other in-network hospital.
In addition, the physician-owned Tulsa ER & Hospital offers low wait times, concierge-level care, a comfortable environment, and other amenities that larger hospitals fail to provide.
What is a surprise medical bill?
“Surprise billing” is an unexpected balance bill from out-of-network providers. This can happen when you can’t control who is involved in your care—like when you have an emergency.
What is balance billing?
Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay, and the full amount charged for a service. This is called “balance billing.”
Why is this important?
Surprise medical bills and balance billing pose financial burdens on consumers when health plans deny out-of-network claims or apply higher out-of-network cost sharing. Cost sharing includes your copayment, coinsurance and deductible.
How does the No Surprises Act protect you?
- Protects you from surprise medical billing and balance billing by out-of-network emergency providers.
- Makes your cost the same for Emergency Room care no matter where it was received
- Your health plan generally must:
- Cover emergency services without requiring you to get approval for services in advance (prior authorization).
- Cover emergency services by out-of-network ER’s/Hospitals/physicians.
- Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility.
- Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit
For more information on the No Surprises Act visit https://www.oid.ok.gov/nsa/