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Update to Florida law will ban surprise medical bills

Publisher: Legal NewsLine
June 17, 2016

Eric Fader was quoted in an article, "Update to Florida law will ban surprise medical bills," in Legal NewsLine

. In the article, Fader explains how an update to Florida law that becomes effective July 1 will extend health care billing protection from out-of-network "balance billing" beyond the current protection for consumers who are insured by health maintenance organizations (HMOs), to members of preferred provider organizations (PPOs) and exclusive provider organizations (EPOs). "Balance billing" occurs when a health care provider is unable to receive full payment from an insurance plan and sends a bill for the balance directly to the patient. "This is kind of the flavor of the year for things in health care for consumers to be upset about, with some justification," Fader said. "Someone goes into surgery — the hospital stay is covered by insurance; the surgeon is covered; then you get a bill for $42,000 from the anesthesiologist or someone else." Fader added, "Between the prior prohibition of balance billing for HMO insureds and now those covered through PPOs and EPOs, pretty much everyone in the state should now be protected from surprise bills." He also noted that other states including New York, Connecticut and Colorado have already passed similar legislation, with future federal legislation possible.


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