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'An Arm and a Leg': Know Your 'No Surprises' Rights

Analysis  |  By KFF Health News  
   February 02, 2022

The No Surprises Act protects patients from one of the worst experiences in the U.S. healthcare system — surprise out-of-network hospital bills.

This podcast was released on Wednesday, February 2, 2022 in Kaiser Health News.

By Dan Weissmann 

Can't see the audio player? Click here to listen.

Click here for a transcript of the episode.

On Jan. 1, Americans woke up with some new protections from giant medical bills. 

Healthcare — and how much it costs — is scary. But you're not alone with this stuff, and knowledge is power. "An Arm and a Leg" is a podcast about these issues, and is co-produced by KHN.

Meet the No Surprises Act. It's a new law that protects patients from one of the worst experiences the U.S. healthcare system has to offer — surprise out-of-network hospital bills. That's when a person gets hit with a bill from an out-of-network provider at an in-network hospital. Under the new law, if a person visits an in-network hospital and is seen by an out-of-network provider, that provider and the insurer have to work it out for themselves. Patients are only on the hook for what they would've paid an in-network provider. That's a big deal.

But there are some caveats (because, of course). For instance: These protections apply only to care in a hospital. Then there's the deceptively named Surprise Billing Protection form that patients might be asked to sign, waiving these newly won rights. And there's more. 

This episode of "An Arm and a Leg" breaks down what you need to know about your rights under this new law, what traps to look out for, and who to call if something smells fishy.

Actually, here: The federal hotline for reporting No Surprises Act violations is at 1-800-985-3059. 

Here's a transcript of the episode

"An Arm and a Leg" is a co-production of KHN and Public Road Productions.

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KFF Health News is a national health policy news service that is part of the nonpartisan Henry J. Kaiser Family Foundation.


KEY TAKEAWAYS

Patients are only on the hook for what they would've paid an in-network provider. That's a big deal.

But there are some caveats. For instance: These protections apply only to care in a hospital.

Then there's the deceptively named Surprise Billing Protection form that patients might be asked to sign, waiving these newly won rights.


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