Federal law protects you from surprise medical bills. This notice explains your rights under the No Surprises Act (effective January 1, 2022).
The No Surprises Act (part of the Consolidated Appropriations Act of 2021) is a federal law that protects patients from unexpected medical bills when they receive care from out-of-network providers in certain situations. It took effect on January 1, 2022, and applies to most health plans and providers across the United States.
If you receive emergency care from an out-of-network provider or at an out-of-network facility, you cannot be charged more than your in-network cost-sharing amount (such as your copayments, coinsurance, and deductibles).
You are also protected from balance billing for certain non-emergency services provided at in-network facilities by out-of-network providers (such as anesthesiologists, radiologists, or assistant surgeons) when you did not have a meaningful choice to select an in-network provider.
In limited situations, out-of-network providers may ask you to waive your balance billing protections and agree to be billed at out-of-network rates. This is only permitted for certain non-urgent, scheduled services, and you must be provided written notice at least 72 hours in advance (or 3 hours for same-day appointments). You cannot be required to sign this notice as a condition of receiving care.
Under the No Surprises Act, you have the right to receive a Good Faith Estimate before you receive scheduled services. This estimate will show the expected costs of your care, including services, drugs, equipment, and hospital fees. Ask your provider or facility for a Good Faith Estimate before you schedule a service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. You must start the dispute process within 120 calendar days of receiving your bill.
To submit your dispute, contact: www.cms.gov/nosurprises
Journey Care Solutions is committed to full compliance with the No Surprises Act. We will:
As a Medicare-participating provider, Journey Care Solutions accepts Medicare-approved amounts as payment in full for covered services. You are only responsible for your applicable Medicare cost-sharing (deductible and 20% coinsurance after Medicare pays 80%), supplemental insurance may cover these amounts. We verify your eligibility and coverage before services begin.
If you have questions about your bill or your rights under the No Surprises Act, please contact us:
Journey Care Solutions — Billing Department
21405 Devonshire St #207, Chatsworth, CA 91311
Phone: (818) 465-5772
Email: info@journeycaresolutions.com
If you believe you have been inappropriately billed in violation of the No Surprises Act, you may file a complaint with the Centers for Medicare & Medicaid Services (CMS):
Online: www.cms.gov/nosurprises/consumers/complaint
Phone: 1-800-MEDICARE (1-800-633-4227)