Limit the amount a provider can charge an enrollee for denied covered services

Summary

The bill says if a health plan denies a covered service for procedural reasons, the provider may charge the patient no more than the contract rate plus 20%. That amount is counted toward the patient’s deductible, and the law does not force insurers to pay for out‑of‑network or non‑covered services.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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