--- title: A New Federal Law Aims to End Maddening Surprise Medical Bills description: The new "No Surprises Act" protects consumers with private health insurance by banning most surprise bills from out-of-network providers. authors: - name: Mallika Mitra role: Contributing Editor url: https://money.com/author/mallika-mitra/ bio: Mallika Mitra is a contributing editor for Money, based in Chicago. She has covered investing and retirement for seven years and her work has appeared in CNBC, Bloomberg, Kiplinger, AARP, Barron’s, Bankrate, The Daily Upside, ETF.com, The Bond Buyer, PLANADVISER, PLANSPONSOR and Investopedia. education: Craig Newmark Graduate School of Journalism at CUNY Kalamazoo College at_money_since: 2020 articles: 395 covers: - Personal Finance - Banking - Business - Career Advice - Credit - Credit Cards - Debt - Economy and Politics - Education - Health and Wellness - Housing - Identity Theft - Insurance - Investing - Lifestyle - Loans - Mortgages - Pets - Professional Services - Retirement - Shopping - Taxes - Technology also_seen_in: - CNBC - Bloomberg - Kiplinger - Barron's - Bankrate - WGN-TV - CBS News Radio - This Morning With Gordon Deal - Everyone's Talkin' Money social: - https://twitter.com/mitra_mallika - https://www.linkedin.com/in/mallika-mitra-4577a386/ published: '2022-01-03T21:54:21.000Z' modified: '2024-01-10T17:08:43.000Z' section: Personal Finance tags: - health insurance - medical bills word_count: 674 canonical: https://money.com/surprise-medical-bills-banned/ type: Article source: structured-blocks --- > **Disclosure:** We research all brands listed and may earn a fee from our partners. Research and financial considerations may influence how brands are displayed. Not all brands are included. [Learn more](https://money.com/page/disclaimer/). ![Medical treatment bill, calculator and stethoscope on blue background](https://img.money.com/2022/01/News-Surprise-Medical-Bills-Are-Banned.jpg) Say goodbye to surprise medical bills. The federal No Surprises Act, which protects consumers with private health insurance by banning most surprise bills from out-of-network providers, went into effect on Jan. 1. In the past, many patients who received emergency care from a facility or doctor that was out of their network — or scheduled non-emergency care that involved an out-of-work doctor — were hit with unexpected bills after their treatment. These bills often came from medical providers that were difficult (if not impossible) for patients to research in advance: You could do your homework and make sure your main surgeon participated in your insurance plan, for example, only to have a non-participating anesthesiologist treat you before surgery. But now these bills should disappear. "Through new rules aimed to protect consumers, excessive out-of-pocket costs will be restricted, and emergency services must continue to be covered without any prior authorization, and regardless of whether or not a provider or facility is in-network," according to the [U.S. Centers for Medicare & Medicaid Services](https://www.cms.gov/nosurprises/Ending-Surprise-Medical-Bills). Some [states](https://www.commonwealthfund.org/publications/maps-and-interactives/2021/feb/state-balance-billing-protections) have consumer protection laws in place against surprise bills, but this is the first comprehensive federal legislation to address the topic. Air ambulances are also included in the No Surprises Act, so there should be no surprise bills if you have to be air lifted for medical treatment. Be warned, however, that ground ambulances are not included in the No Surprises Act. So you could still face surprise medical bills if you need a ride in a traditional ambulance. Lawsuits from medical providers [are underway](https://www.aha.org/news/news/2021-12-09-aha-ama-and-others-file-lawsuit-over-no-surprises-act-rule-jeopardizes-access), but shouldn't impact the ban on surprise bills. (If the suits are successful, though, they could lead to higher health insurance premiums, according to the Center on Health Insurance Reforms at Georgetown University's McCourt School of Public Policy.) ## How common are surprise medical bills? Previously, receiving a surprise bill from an out-of-network provider after emergency care was common. Among privately insured patients, an estimated one in five emergency claims and one in six in-network hospitalizations included at least one out-of-network bill, the [Kaiser Family Foundation](https://www.kff.org/private-insurance/fact-sheet/surprise-medical-bills-new-protections-for-consumers-take-effect-in-2022/) reported in 2021. And two in three adults say they worry about unexpected medical bills, which can cost hundreds or even thousands of dollars, according to the foundation. ## What should you do if you receive a surprise medical bill? Before, out-of-network providers would often bill patients directly. Then the patient would have to submit that out-of-network claim to their insurance and collect whatever reimbursement they could, according to the [Kaiser Family Foundation](https://www.kff.org/health-reform/issue-brief/no-surprises-act-implementation-what-to-expect-in-2022/). Under the new law, providers need to submit the surprise out-of-network bill to the patient's health insurance plan, which must then advise the doctor or hospital of the applicable in-network cost sharing amount for the claim. The health insurer will then send an initial payment to the provider, and the patient will receive an explanation of benefits (a statement explaining what was covered and what the patient owes the out-of-network provider). Only after all of this occurs can the out-of-network provider send the patient a bill. Critically, the bill can't be more than what you would have owed if the providers accepted your insurance, Kaiser Family Foundation adds. If you receive a bill from an out-of-network provider that is higher than the amount on your explanation of benefits, you should ask your provider for a revised bill, according to the Center on Health Insurance Reforms. If that doesn't solve the problem, file a complaint with the federal "No Surprises Help Desk" [online](https://www.cms.gov/nosurprises) or via phone at 1-800-985-3059. Keep in mind that while the federal law bans surprise billing, consumers are still responsible for any in-network costs — and understanding those can still be complicated. For tips on how to lower medical costs, check out [Money's guide to saving money](https://money.com/how-to-save-on-medical-costs/) on medical bills, prescription drugs and more. ```json { "@context": "https://schema.org", "@graph": [ { "@type": "BreadcrumbList", "@id": "https://money.com/surprise-medical-bills-banned/#breadcrumb", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://money.com" }, { "@type": "ListItem", "position": 2, "name": "Personal Finance", "item": "https://money.com/personal-finance/" }, { "@type": "ListItem", "position": 3, "name": "Expenses", "item": "https://money.com/expenses/" }, { "@type": "ListItem", "position": 4, "name": "A New Federal Law Aims to End Maddening Surprise Medical Bills" } ] }, { "@type": "WebSite", "@id": "https://money.com/#website", "url": "https://money.com", "name": "Money", "publisher": { "@id": "https://money.com/#organization" } }, { "@type": "WebPage", "@id": "https://money.com/surprise-medical-bills-banned/#webpage", "url": "https://money.com/surprise-medical-bills-banned/", "name": "A New Federal Law Aims to End Maddening Surprise Medical Bills", "isPartOf": { "@id": "https://money.com/#website" }, "datePublished": "2022-01-03T21:54:21.000Z", "mainEntity": { "@id": "https://money.com/surprise-medical-bills-banned/" }, "inLanguage": "en-US", "breadcrumb": { "@id": "https://money.com/surprise-medical-bills-banned/#breadcrumb" }, "dateModified": "2024-01-10T17:08:43.000Z" }, { "@type": "Article", "headline": "A New Federal Law Aims to End Maddening Surprise Medical Bills", "articleSection": "Personal Finance", "image": [ { "@type": "ImageObject", "url": "https://img.money.com/2022/01/News-Surprise-Medical-Bills-Are-Banned.jpg", "width": 3013, "height": 2008, "caption": "News-Surprise-Medical-Bills-Are-Banned" } ], "author": [ { "@type": "Person", "name": "Mallika Mitra", "url": "https://money.com/author/mallika-mitra/", "@id": "https://money.com/author/mallika-mitra/#author", "description": "Mallika Mitra is a contributing editor for Money, based in Chicago. 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