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MO SB153
Bill
AI Summary
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Health carriers must establish a web-based estimating system or other mechanism by July 1, 2012, allowing covered individuals, parents, or guardians to request cost estimates for procedures, tests, or services.
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Estimates must show total cost and out-of-pocket cost specific to all available contracted providers or facilities, accounting for unmet deductibles and assuming typical utilization without complications.
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Estimates must include related ancillary costs such as radiology, pathology, or anesthesiology services and indicate when no contracted providers for such services are available under the individual's plan.
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Cost estimates are not a guarantee of coverage and health carriers are not liable for differences between estimated costs and actual charges assessed to the individual.
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Health carriers failing to make a good faith effort to comply are subject to penalties under section 374.280.
Legislative Description
Requires health carriers to establish or otherwise utilize web-based estimating systems so that consumers can obtain health care cost estimates and compute other related health care costs
Last Action
Hearing Conducted S Small Business, Insurance and Industry Committee
4/12/2011