The federal No
Surprises Act took effect January 1, 2022, and aims to reduce unexpected medical bills for patients.
Group health plans, group and individual health insurers, carriers under the Federal Employees Health Benefits (FEHB) Program, health care providers and facilities, and providers of air ambulance services must comply with several requirements.
Premera members with individual plans (state and federal exchanges) and group plans including the School Employees Benefits Board (SEBB) Program and the Federal Employee Program (FEP) are covered by this legislation. Medicare Advantage members aren’t
included as they’re already covered by a clause through the Centers for Medicaid and Medicare Services.
Note: All group plans, including self-funded plans, are covered by the Federal No Surprises Act. Some self-funded plans may have opted into the Washington state Balance Billing Protection Act and may be covered by those guidelines as