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Cuomo Proposes Out-of-Network Health Coverage

401(K) 2013/Creative Commons

In an effort to protect consumers from big surprise medical bills, the Cuomo administration has proposed extending out-of-network coverage requirements for emergencies and specialists to all health insurers in New York.

According to the state Department of Financial Services, the requirements currently apply to health maintenance organizations and 16 insurance plans in New York's new health exchange.

Legislation Gov. Andrew Cuomo has proposed for the fiscal year starting April 1 would apply those consumer protections to non-HMOs, which provide most health coverage in New York.

It would also help protect patients from big surprise medical bills from out-of-network doctors by requiring clear advance disclosures about who's actually in their insurance networks.

Disputes would go to arbitration between doctors and insurance companies, leaving the patients out.

Copyright 2014 The Associated Press.

Dave Lucas is WAMC’s Capital Region Bureau Chief. Born and raised in Albany, he’s been involved in nearly every aspect of local radio since 1981. Before joining WAMC, Dave was a reporter and anchor at WGY in Schenectady. Prior to that he hosted talk shows on WYJB and WROW, including the 1999 series of overnight radio broadcasts tracking the JonBenet Ramsey murder case with a cast of callers and characters from all over the world via the internet. In 2012, Dave received a Communicator Award of Distinction for his WAMC news story "Fail: The NYS Flood Panel," which explores whether the damage from Hurricane Irene and Tropical Storm Lee could have been prevented or at least curbed. Dave began his radio career as a “morning personality” at WABY in Albany.
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