No Surprises Act

 

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Visit No Surprises Act | CMS for more information about your rights under Federal Law. Visit NJDOBI | Out-of-network Consumer Protections for more information about your rights under NJ State Laws.

As of January 1, 2022

Please be advised that under the No Surprises Act, a new Federal law, you are protected from “surprise medical bills” under the following circumstances:

  1. If you have health insurance coverage through an employer, a Health Insurance Marketplace, or an individual health plan.

  2. This notice does not apply to individuals who self-pay or have Medicaid/Medicare.

Surprise Billing means that you think you are receiving services from an “in-network” provider, but one or more of the services is conducted by a provider at the facility who is “out-of-network”. The provider Embracing Change Counseling Services, LLC cannot charge you (or balance bill you) at a higher rate for an “out-of-network” provider unless you acknowledge and agree to that service and rate, in writing.

  1. Embracing Change Counseling Services, LLC, may not “surprise bill” you for emergency care, nor bill you “out-of-network” rates for emergency care. (Embracing Change Counseling Services, LLC does not provide emergency care.)

  2. Embracing Change Counseling Services, LLC may not “surprise bill” you or ask you to pay more for an out-of-network provider if you expect your services to be provided by an “in-network” provider.