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  1. The Federal No Surprises Act protections from surprise medical bills from an out-of-network provider in an in-network hospital or ambulatory surgical center apply if your patient has employer or union self-funded coverage for plans issued or renewed on and after January 1, 2022.

  2. Under these new protections, you only have to pay your in-network copayment, coinsurance, or deductible for emergency services or when you receive a surprise bill. Health care providers should not bill you for any additional amounts. The new protections started January 1, 2022.

  3. Now, New Yorkers have even more safeguards from surprise medical bills under the federal No Surprises Act, which went into effect January 1, 2022. Under the new law, health care providers and certain facilities cannot bill patients for more than their in-network co-payment, co-insurance, or deductible for certain surprise bills — that is ...

  4. New York State governmental agencies making state administered payments that reimburse New York hospitals for rendered inpatient services to eligible individuals (NYS programs making state administered payments and authorized to pay NYS Medicaid inpatient rates in accordance with PHL §2807-c(1)(a)).

  5. You paid your copays, and you also paid your $400 deductible and $3,600 in coinsurance. Once you’ve paid $4,000, your insurance company will cover 100% of your medical expenses for the remainder of the plan year.

  6. 11 wrz 2023 · The NY Health Act is commonly referred to as “Improved Medicare for All.” (2023-2024 bill numbers: S7590/A7897) Why do we need NY Health? This legislation will eliminate the financial burden of large deductibles and copayments which serve as a barrier to accessing health care, and also impoverish many New Yorkers.

  7. At NYC Health + Hospitals we are committed to providing our patients with information on your rights and protections against surprise medical bills under federal and NY state law, so you can make informed decisions about where you receive your care and how much you may be expected to pay out-of-pocket.

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