Illinois SB0230 regulates billing practices for nonparticipating providers in health insurance plans.
Illinois SB0230 amends the Illinois Insurance Code to address billing practices for nonparticipating providers in health insurance plans. The bill ensures that insured individuals do not incur greater out-of-pocket costs when receiving services from nonparticipating providers. It mandates that cost-sharing amounts be calculated based on the recognized amount for the services. The bill also outlines procedures for arbitration in cases where the health insurance issuer and the nonparticipating provider cannot agree on payment.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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