West Virginia SB645 prohibits out-of-network emergency medical services agencies from balance billing insured individuals for ground ambulance.

West Virginia SB645 aims to protect insured individuals from surprise billing by out-of-network emergency medical services agencies for ground ambulance services. The bill mandates that insurers pay non-participating emergency medical services agencies at a rate of 400 percent of the current published rate for ambulance services, or according to the agency's billed charges, whichever is less. Insurers must remit payment directly to the non-participating agency and cannot send payment to the insured individual.

West Virginia SB645 prohibits out-of-network emergency medical services agencies from balance billing insured individuals for ground ambulance.

West Virginia SB645 aims to protect insured individuals from surprise billing by out-of-network emergency medical services agencies for ground ambulance services. The bill mandates that insurers pay non-participating emergency medical services agencies at a rate of 400 percent of the current published rate for ambulance services, or according to the agency's billed charges, whichever is less. Insurers must remit payment directly to the non-participating agency and cannot send payment to the insured individual.