Minnesota SF3993 requires health plans to credit enrollees for services provided by out-of-network providers at a lower cost than in-network.

Minnesota SF3993 amends state statutes to require health plans 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. Health plans must provide enrollees with a good faith estimate of the allowable amount for services. The commissioner of commerce can enforce this section. The bill also mandates that health plans provide statements of out-of-network credit balances to enrollees and pay out-of-network credit balances upon plan termination.

Minnesota SF3993 requires health plans to credit enrollees for services provided by out-of-network providers at a lower cost than in-network.

Minnesota SF3993 amends state statutes to require health plans 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. Health plans must provide enrollees with a good faith estimate of the allowable amount for services. The commissioner of commerce can enforce this section. The bill also mandates that health plans provide statements of out-of-network credit balances to enrollees and pay out-of-network credit balances upon plan termination.