Minnesota HF4152 requires health plans to credit enrollees for services provided by out-of-network providers at a lower cost than in-network.

Minnesota HF4152 amends health plan requirements to credit enrollees for services provided by out-of-network providers at a lower cost than in-network providers. The credit is equal to fifty percent of the estimated in-network cost difference. The bill prohibits health plans from imposing cost-sharing requirements, utilization review limitations, or premium increases that limit an enrollee's ability to receive, benefit from, or use an out-of-network credit. The commissioner of commerce is authorized to enforce this provision.

Minnesota HF4152 requires health plans to credit enrollees for services provided by out-of-network providers at a lower cost than in-network.

Minnesota HF4152 amends health plan requirements to credit enrollees for services provided by out-of-network providers at a lower cost than in-network providers. The credit is equal to fifty percent of the estimated in-network cost difference. The bill prohibits health plans from imposing cost-sharing requirements, utilization review limitations, or premium increases that limit an enrollee's ability to receive, benefit from, or use an out-of-network credit. The commissioner of commerce is authorized to enforce this provision.