STATEHOUSE (Jan. 13, 2020) – The House Insurance Committee on Wednesday will consider State Rep. Ben Smaltz’s (R-Auburn) bill protecting Hoosiers from surprise medical billing.
“Surprise medical bills can be incredibly costly, and this issue impacts hundreds, if not thousands of Hoosiers each year,” Smaltz said. “Doctor visits and medical procedures are stressful enough without worrying about future bills. People should not have to find out they owe more than expected after receiving treatment from an out-of-network provider while at an in-network facility.”
Surprise billing occurs when a patient receives services at a medical facility within their insurance network, but a medical provider is not covered. Smaltz said an example would be when a person is having surgery, and their surgeon is covered by insurance, but other medical providers like an anesthesiologist is out-of-network.
Smaltz’s legislation would prohibit health care providers from billing an in-network patient for amounts exceeding in-network rates, which are usually covered by their insurance. Patients would still be responsible for any deductibles, copayments and coinsurance amounts. Hoosiers could opt to receive services from out-of-network providers if they choose.
Smaltz collaborated with citizens and several organizations on this bill, including the Indiana Hospital Association, Indiana Manufacturers Association, Indiana State Medical Association, Anthem, Family and Social Services Administration, Indiana Federation of Ambulatory Surgical Centers, Indiana Health Information Exchange Employer’s Forum, Indiana Chamber of Commerce and CareSource.
State Rep. Ben Smaltz (R-Auburn) represents House District 52,
which includes DeKalb County as well as portions of Allen and Steuben counties.
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