1) You're sitting in a doctor's office and you notice the facility does not have any posters about the new laws. What kind of complaint can you file? a) Advanced Cost Information b) Disclosure of Patient Protections c) No Surprises Act 2) A woman is in labor 2 months before her due date while she is visiting her family in another state. She is taken to a local in-network hospital where she is treated by an out-of-network provider. Should she receive a Notice of Consent form before delivery? a) Yes b) No, a Good Faith Estimate is needed c) No, does not apply 3) If the Good Faith Estimate stated $804 and the bill totals $1203 for one provider, is this considered a violation? a) No b) Yes 4) Prior to the NSA how could an uninsured/self-pay patient know how much a medical service would cost in advance? a) Good Faith Estimate b) Asking c) Waiting for the bill 5) Once the consumer has a GFE, what can they now do to ensure they get the best deal on services? a) Negotiate the estimate with the provider b) Shop around c) File a complaint 6) When does a Notice and Consent form apply to an uninsured patient? a) After emergency care b) Never c) Always 7) Can someone with insurance waive their coverage to pay out of pocket? a) Yes b) No c) Only if the service is not covered 8) A surprise bill is when the provider bills you for what the insurance did not cover. a) False b) True 9) If someone's appointment was before 1/1/2022 can the NSA protections still apply? a) Yes b) No

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