No Surprises Act

When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn’t be charged more than your plan’s copayment, coinsurance and/or deductible.

You’re protected from balance billing for emergency services, certain servises at an in-network hospital or ambulatory center and services referred by your in-network doctor. Also, under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an Good Faith Estimate of the bill for medical items and services that are reasonably expected to be furnished. SuperKids Pediatrics will provide a good faith estimate to patients that identify themself as uninsured or self-paid upon schedule and/or as requested. As a uninsured (or Self-pay) individual:

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency item or services.
• The Good Faith Estimate is only a estimate of of items or services reasonably expected to be furnished at the time it was issued, and that actual items, services, or charges may differ from the good faith estimate.
• If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill with the U.S. Department of Health and Human Services.
• There may be additional items or services the convening provider or convening facility recommeds as part of the course of care that must be schedule or request separately and are not reflected in the good faith estimate.
• Any patient-provider dispute resolution process will not adversely affect the quality of health care services furnished to you and will not invalidate office financial policies pertaining to any balance due after the resolution of the dispute.
• The good faith estimate is not a contract and does not require you to obtain the items or services from any of the providers of facilities identified in the good faith estimate.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill by contacting CMS at 1-800-985-3059. Visit: http://www.cms.gov/nosurprises/consumers for information about your rights under federal law. Visit https://m.flsenate.gov/statutes for more information about Florida’s law.