REAL Health Providers Act: Ensuring Accurate Medicare Advantage Doctor Directories
This bill requires Medicare Advantage plans to maintain up-to-date and accurate lists of doctors and healthcare facilities. It protects patients from surprise medical bills if they visit a provider who was incorrectly listed as being in their insurance network.
Key points
Insurance plans must verify doctor information at least every 90 days.
You are protected from high costs if you rely on a directory that wrongly lists a doctor as being in-network.
Providers who leave an insurance network must be removed from the directory within 5 business days.
Public 'accuracy scores' will be published to help citizens choose the most reliable insurance plans.
Status:
Introduced
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