The NY Times reports NY State has announced a measure to require hospitals to give advance notification to patients if an out-of-network doctor will be treating them. Otherwise the patient is only responsible for the equivalent copay of an in-network doctor. http://www.nytimes.com/2014/03/31/n...al-bills-containing-surprises.html?ref=health
It doesn't completely eliminate this practice, which is a burden on patients, but it looks like a good first step. Patients receiving scheduled treatment provide the hospital with all the information it needs to ensure the care is covered by the insurer.Now a provision in the state budget agreement announced Saturday is intended to protect consumers by requiring that they be given a reasonable amount of notice when an out-of-network doctor will be treating them.
If they are stuck with a surprise bill, patients will be responsible only for whatever their co-pay would be if the doctor were in-network. The out-of-network doctor and the insurance company will have to hash out the bill using what is known as baseball arbitration, with each proposing a price and an arbitrator choosing one of them. The law will go into effect in one year.