Blog

Arrow Video Series

Answer Your Com­plex Ques­tions with Straight Answers

Unit­ed Cere­bral Pal­sy of the North Bay and Arrow Ben­e­fits Group demon­strate what com­mu­ni­ty lead­er­ship looks like through their long stand­ing rela­tion­ship. UCP of
the North Bay is a local­ly run, 501© (3) orga­ni­za­tion found­ed in 1981 after the merg­er of UCP of Marin (1954) and UCP of Sono­ma (1969). This video is part of a con­tin­u­ing series devot­ed to the peo­ple and orga­ni­za­tions that improve the com­mu­ni­ties we live
in.

Announc­ing New Cal­i­for­nia Assem­bly Bill (AB) 72 

Out-of-Net­work Cov­er­age and Mem­ber Cost Sharing

Changes to out-of-net­work cov­er­age and cost-sharing

When indi­vid­u­als go to an in-net­work facil­i­ty for care but receive ser­vices from an out-of-net­work doc­tor or health­care provider, they only have to pay their in-network
cost-shar­ing amount that counts toward the annu­al deductible and annu­al out-of-pock­et max­i­mum lim­its accord­ing to their health plan.

An out-of-net­work doc­tor should only bill individuals
after both par­ties have received a copy of the Expla­na­tion of Ben­e­fits (EOB) that reflects the cor­rect in-net­work cost-shar­ing amount owed for the care received. If for any rea­son the out-of-net­work doc­tor or health­care provider receives pay­ment that is more
than the cost share allowed, the out-of-net­work doc­tor must refund the over­pay­ment with­in 30 days. 

Let us know if we can answer any ques­tions about this or oth­er new laws going into effect – we are here to dis­cuss it all with you! Feel free to con­tact Stephen
McNeil at ([email protected].com) if you have any questions.