Or. Rev. Stat. §§ 743B.280 through 743B.290: Health Benefit Plans: Individual and Group — Out-of-Pocket Costs – Oregon

Status: Enacted
Year Enacted: 2015
Year Amended: 2019
File: Download

An insurer offering a health benefit plan as defined in ORS 743B.005 must establish a procedure for providing to an enrollee in the plan a reasonable estimate of an enrollee’s costs for both in-network and out-of-network procedure or service, in advance of the procedure or service. Prohibits balance billing: Except as provided in subsection (3) of this section, a provider who is an out-of-network provider for a health benefit plan or health care service contract may not bill an enrollee in the health benefit plan or health care service contract for emergency services or other inpatient or outpatient services provided at an in-network health care facility.

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