Notice to Patients Regarding the No Surprises Act

Effective Date: January 1, 2022

Your Rights and Protections Against Surprise Medical Bills

As part of our commitment to transparency and patient care, we want to inform you about your rights under the No Surprises Act, which aims to protect you from unexpected medical bills.

What is a surprise medical bill?

A surprise medical bill occurs when you receive care from a healthcare provider or facility that is not in your health plan’s network, resulting in higher-than-expected charges. These unexpected charges are sometimes referred to as “balance billing.”

Key Protections Under the No Surprises Act:

Emergency Services: You are protected from surprise bills for emergency services, regardless of whether you receive care at an in-network or out-of-network hospital.

Non-Emergency Services: If you receive non-emergency services at an in-network hospital or ambulatory surgical center, you cannot be billed more than the in-network cost-sharing amount for services from out-of-network providers.

Notice and Consent: If you are seen by an out-of-network provider at an in-network facility, the provider must give you a notice explaining that they are out-of-network and may ask you to sign a consent form agreeing to out-of-network charges. You have the right to refuse to sign this consent form.

What does this mean for you?

You are responsible only for your in-network cost-sharing amounts (e.g., copayments, coinsurance, and deductibles).You should not receive a balance bill from out-of-network providers for emergency services or certain non-emergency services. If you believe you have been wrongly billed, you have the right to dispute the charges.

How to get more information:

For more details about your rights under the No Surprises Act, you can visit the official Centers for Medicare & Medicaid Services (CMS) website or contact our office directly.

Contacting Us

If there are any questions regarding this privacy policy you may contact us using the information below.

Goodskin Dermatology
12605 SE 97th Avenue
Clackamas, OR 97015

Phone 503-654-SKIN

More information regarding the No Surprise Act can be found HERE.