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This bill addresses a common and significant problem for Medicare Advantage enrollees: inaccurate provider directories. Currently, it's not uncommon for patients to use an online directory to find a doctor, only to discover the provider has moved, is no longer accepting new patients, or, most critically, is no longer part of their plan's network. This can lead to wasted time, delayed care, and unexpected medical bills if a patient receives out-of-network care they believed was in-network.
If this bill becomes law, it would provide a strong incentive for Medicare Advantage plans to maintain accurate directories, potentially saving patients from financial surprises and making it easier to access care. Without this bill, the burden of verifying provider network status often falls entirely on the patient, and they may be held responsible for higher out-of-network costs even if the plan's directory was wrong. The bill aims to improve transparency and accountability, ensuring that the information plans provide to their members is trustworthy, which is crucial for managing healthcare needs and costs.
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This bill addresses a common and significant problem for Medicare Advantage enrollees: inaccurate provider directories. Currently, it's not uncommon for patients to use an online directory to find a doctor, only to discover the provider has moved, is no longer accepting new patients, or, most critically, is no longer part of their plan's network. This can lead to wasted time, delayed care, and unexpected medical bills if a patient receives out-of-network care they believed was in-network.
If this bill becomes law, it would provide a strong incentive for Medicare Advantage plans to maintain accurate directories, potentially saving patients from financial surprises and making it easier to access care. Without this bill, the burden of verifying provider network status often falls entirely on the patient, and they may be held responsible for higher out-of-network costs even if the plan's directory was wrong. The bill aims to improve transparency and accountability, ensuring that the information plans provide to their members is trustworthy, which is crucial for managing healthcare needs and costs.
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Lower Costs for Everyday Americans Act
Consolidated Appropriations Act, 2026
Bipartisan Health Care Act
REAL Health Providers Act