SB116 Alabama 2016 Session

This bill would establish the Alabama Right to Shop Act

This bill would require a health care provider to provide, upon a patient's request, an estimate of the allowed amount or charge for health care services if the health care provider is in the patient's health benefit plan network or amount or charge if the health care provider is out-of-network and to assist a patient in obtaining information about the patient's out-of-pocket costs

This bill would require a health benefit plan to establish a toll-free number and website to provide information to enrollees about health care costs and to provide a binding estimate for the maximum allowed amount or charge for in-network and out-of-network services for a proposed admission, procedure, or service and the estimated amount the enrollee will be responsible to pay for a proposed admission, procedure, or service that is a medically necessary covered benefit

The bill would also require a health benefit plan in certain circumstances to pay to an enrollee certain saved costs if an enrollee elects to receive health care services from an out-of-network provider where the out-of-network services cost less than in-network services

Relating to health insurance; to require a health care provider to provide, upon a patient's request, an estimate of the allowed amount or charge for health care services if the health care provider is in the patient's health benefit plan network or amount or charge if the health care provider is out-of-network and to assist a patient in obtaining information about the patient's out-of-pocket costs; to require a health benefit plan to establish a toll-free number and website to provide information to enrollees about health care costs and to provide a binding estimate for the maximum allowed amount or charge for in-network and out-of-network services for a proposed admission, procedure, or service and the estimated amount the enrollee will be responsible to pay for a proposed admission, procedure, or service that is a medically necessary covered benefit; and to require a health benefit plan in certain circumstances to pay to an enrollee certain saved costs if an enrollee elects to receive health care services from an out-of-network provider where the out-of-network services cost less than in-network services.