Turning Point Healing Centers will exert utmost efforts to have all services preauthorized by your health insurance company. However, if your health insurance company determines that a particular service is either not reasonable and necessary, or not covered under your plan, the insurer will refuse payment for that service, transferring the financial responsibility to you.
The ‘No Surprise Act,’ effective from January 1st, 2022, protects clients from being charged more than the specified in-network cost-sharing amounts by out-of-network care providers. These charges are based on a ‘recognized amount’ determined by state law, or, for those under an all-payer model agreement, approved by the state. To gain more insight into the law, visit cms.gov/nosurprises.