Surprise Billing/Price Transparency

The No Surprise Act (NSA) was signed into law to protect patients from surprise medical bills and prohibit balance billing of patients for certain out-of-network care.  The NSA seeks to reduce surprise bills by eliminating patient balance billing in specific situations: out-of-network (OON) emergency services, OON non-emergency services at in-network facilities, and air ambulance services.

The intent of the Transparency in Coverage law (TiC) is to improve transparency in healthcare costs and empower consumers to compare costs between specific providers for any healthcare service, giving them better insight into the cost of services before they obtain care and receive a bill.

Helpful Links

Surprise Billing Notice

NLH
Pricing Tool 

Provider
Directory

Machine
Readable Files

 

For more information related to your specific benefits please refer to the Summary Plan Description (SPD) or call our Customer Service Team for the Northern Light Employee Health Plan powered by Beacon at (855) 429-1023.

The information contained here is for illustrative purposes only and is not intended to change the Summary Plan Descriptions(SPD). While care has been used in preparing this information, all data is governed by the provisions of the applicable SPD. In the event of a conflict between the language in this document and the SPD, the SPD will control.