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Your Rights Against Surprise Medical Bills

Information about the No Surprises Act and your protections against unexpected billing

The No Surprises Act

Effective January 1, 2022, the No Surprises Act (the Consolidated Appropriations Act, 2021 (Public Law 116-260)) provides new federal protections against surprise medical billing. This law gives you important rights when receiving healthcare services.

Your Rights

When you receive healthcare services, you are protected from:

  • Surprise billing: If you have health insurance, you're protected from receiving unexpected bills from out-of-network providers in certain situations.
  • Balance billing: Providers cannot bill you for more than your in-network cost-sharing amount in certain circumstances.

Emergency Services

If you receive emergency services, you can't be charged more than your in-network copayment, coinsurance, or deductible, regardless of whether the provider or facility is in-network or out-of-network. You also can't be balance billed for these emergency services.

Non-Emergency Services

For scheduled (non-emergency) services at in-network facilities, you're protected from balance billing by out-of-network providers who may be involved in your care (such as an anesthesiologist or radiologist) unless you've given written consent to waive your protections.

Good Faith Estimate

If you don't have health insurance or choose not to use your insurance, you have the right to receive a "Good Faith Estimate" of the cost of your care before your appointment. This estimate should include the expected charges for all items and services related to your care.

  • You can request a Good Faith Estimate before scheduling a service
  • If you receive a bill that is substantially higher ($400 or more) than your Good Faith Estimate, you may dispute the bill
  • Make sure to save a copy of your Good Faith Estimate for your records

Our Commitment

At DLH Consulting & Psychiatric Services, we are committed to transparent pricing and ensuring our patients understand the cost of their care. We provide Good Faith Estimates to all uninsured and self-pay patients and are happy to discuss the cost of services at any time.

For More Information

For questions or more information about your rights under the No Surprises Act, visit www.cms.gov/nosurprises or call 1-800-985-3059.

If you have questions about our billing practices, please contact our office at (774) 929-7420 or info@dlhconsultant.com.