SecretlyFI
Recycles dryer sheets
- Joined
- Dec 8, 2012
- Messages
- 212
+1The No Surprise Act does limit how much you can be charged when you receive care in an in-network facility who uses an out-of-network physician. Your liability should be similar to the liability if the physician were in-network. See details here What is a “surprise medical bill” and what should I know about the No Surprises Act? | Consumer Financial Protection Bureau
I disagree with this, as explained in MichaelB's post and link above. The purpose of the No Surprises Act, which went into effect on January 1, 2022, is to avoid this problem.This is a problem that exists with the situation you’re describing. I’ve experienced in my work life in healthcare. The anesthesiologist is not contracted by your insurance company. So yes, they can balance bill you. It’s a terrible arrangement since no one picks their anesthesiologist and you are at a network hospital using a network surgeon. If you’re still on commercial insurance, you’re most likely going to have to work out a deal with the anesthesiologist.
This is the exact scenario addressed by the No Surprises ActAnd I certainly did not get a good faith estimate of costs I would incur by using this provider. . . . would that be up to the surgery center to provide? Surgery Center and doctor were in network and covered as expected. I'm not entirely sure how I could know what anesthesiologist they would pick in advance. But maybe that is only if you are uninsured?