The No Surprises Act requires health plans to notify eligible members when a provider or facility is terminated from the network due to contract expiration or non-renewal. This notice informs the plan members of their right, as a “continuing care patient,” to elect to continue the course of treatment for a period of time from […]
New regulations, effective January 15, 2022, require group health plans and health insurance issuers to cover up to 8 at-home Covid tests per covered individual per month. The rules require group health plans and health insurance issuers to cover rapid at-home COVID-19 tests with: No cost-sharing applied No prior authorization required No medical management requirements. Here are […]
What is the No Surprises Act? The No Surprises Act (the “Act”) took effect on January 1, 2022. The Act restricts surprise and excessive out-of-pocket balance bills for consumers. It also ensures coverage of emergency services without prior authorization and regardless of network status. Does the No Surprises Act prevent balance bills? No. The law […]
