Topic: Health Insurance
According to New York health, life and disability insurance lawyer Mark Scherzer, new health insurance protections became effective on April 1, 2015. As a guest writer for the Families USA blog, Mr. Scherzer explains that these new protections are part of the “Emergency Medical Services and Surprise Bills” law, and are designed to minimize surprise medical plan charges for out-of-network services. The new protections include “network adequacy rules,” rules for increased disclosure (both by insurers and by healthcare providers), requirements that group plans offer at least one option where coverage is based on Usual and Customary Rates (rather than lower Medicare rates, or other rate-calculation methodologies), and a new independent dispute resolution procedure for fee disputes between health plans and healthcare providers.
Mr. Scherzer’s detailed description of the new legal
protections can be found on the Familes USA blog, here: “New
York’s New ‘Surprise Bill’ Law Rolls out New Health
Insurance Protections for Consumers.”
Mark Scherzer is a New York health, life, and disability insurance
lawyer who represents claimants and individual policy-holders with claims
arising under employer-sponsored group ERISA benefit plans (such as short and
long term disability benefits) and under individual insurance policies.